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Article: Use of the Endo-GIA Vascular Stapler for Hepatic Resection

TitleUse of the Endo-GIA Vascular Stapler for Hepatic Resection
Authors
Issue Date2003
PublisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#description
Citation
Asian Journal Of Surgery, 2003, v. 26 n. 4, p. 193-196 How to Cite?
AbstractOBJECTIVE: The aim of this study was to analyse the outcome of hepatectomy using the Endo-GIA vascular stapler and to derive a strategy to avoid complications from its use. METHODS: From October 1998 to December 2001, 156 patients underwent major hepatectomy for hepatocellular carcinoma. There were 124 men and 32 women, with a median age of 52.5 years. The Endo-GIA vascular stapler was used for division of the hepatic vein and hepatic duct. Intra- and postoperative clinical data were evaluated. RESULTS: The overall morbidity and mortality rates were 32.1% and 8.3%, respectively. Seventy-six percent of patients did not require blood transfusion. The median blood loss volume was 1 L. There were no complications related to the use of the Endo-GIA vascular stapler in dividing the hepatic veins. One patient (0.6%) had a complication from the use of the stapler for right hepatic duct transection and recovered uneventfully after hepaticojejunostomy. Intraoperative cholangiography was performed in subsequent patients undergoing right trisegmentectomy to avoid billary complications. CONCLUSIONS: The Endo-GIA vascular stapler is a safe and useful tool to divide the hepatic vein, but surgeons should exercise particular caution to avoid complications when it is used for hepatic duct division.
Persistent Identifierhttp://hdl.handle.net/10722/172839
ISSN
2015 Impact Factor: 0.912
2015 SCImago Journal Rankings: 0.427
References

 

DC FieldValueLanguage
dc.contributor.authorWang, WXen_US
dc.contributor.authorFan, STen_US
dc.date.accessioned2012-10-30T06:25:13Z-
dc.date.available2012-10-30T06:25:13Z-
dc.date.issued2003en_US
dc.identifier.citationAsian Journal Of Surgery, 2003, v. 26 n. 4, p. 193-196en_US
dc.identifier.issn1015-9584en_US
dc.identifier.urihttp://hdl.handle.net/10722/172839-
dc.description.abstractOBJECTIVE: The aim of this study was to analyse the outcome of hepatectomy using the Endo-GIA vascular stapler and to derive a strategy to avoid complications from its use. METHODS: From October 1998 to December 2001, 156 patients underwent major hepatectomy for hepatocellular carcinoma. There were 124 men and 32 women, with a median age of 52.5 years. The Endo-GIA vascular stapler was used for division of the hepatic vein and hepatic duct. Intra- and postoperative clinical data were evaluated. RESULTS: The overall morbidity and mortality rates were 32.1% and 8.3%, respectively. Seventy-six percent of patients did not require blood transfusion. The median blood loss volume was 1 L. There were no complications related to the use of the Endo-GIA vascular stapler in dividing the hepatic veins. One patient (0.6%) had a complication from the use of the stapler for right hepatic duct transection and recovered uneventfully after hepaticojejunostomy. Intraoperative cholangiography was performed in subsequent patients undergoing right trisegmentectomy to avoid billary complications. CONCLUSIONS: The Endo-GIA vascular stapler is a safe and useful tool to divide the hepatic vein, but surgeons should exercise particular caution to avoid complications when it is used for hepatic duct division.en_US
dc.languageengen_US
dc.publisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#descriptionen_US
dc.relation.ispartofAsian Journal of Surgeryen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAngiographyen_US
dc.subject.meshCarcinoma, Hepatocellular - Diagnosis - Surgeryen_US
dc.subject.meshCohort Studiesen_US
dc.subject.meshEquipment Designen_US
dc.subject.meshEquipment Safetyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHemostasis, Surgical - Instrumentationen_US
dc.subject.meshHepatectomy - Instrumentation - Methodsen_US
dc.subject.meshHepatic Veins - Radiography - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshLiver Neoplasms - Diagnosis - Surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSurgical Staplersen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleUse of the Endo-GIA Vascular Stapler for Hepatic Resectionen_US
dc.typeArticleen_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S1015-9584(09)60301-8-
dc.identifier.pmid14530102-
dc.identifier.scopuseid_2-s2.0-0142043433en_US
dc.identifier.hkuros85296-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0142043433&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume26en_US
dc.identifier.issue4en_US
dc.identifier.spage193en_US
dc.identifier.epage196en_US
dc.publisher.placeHong Kongen_US
dc.identifier.scopusauthoridWang, WX=9733945000en_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US

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