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Article: Recent advances in techniques of liver resection.

TitleRecent advances in techniques of liver resection.
Authors
Issue Date2004
PublisherUniversal Medical Press, Incorporated.
Citation
Surgical Technology International, 2004, v. 13, p. 71-77 How to Cite?
AbstractThe role of liver resection for benign and malignant hepatobiliary diseases is expanding because of the markedly reduced operative mortality in recent years, as the result of better patient selection, improved surgical techniques, and better perioperative management. The major technical challenge of liver resection is control of bleeding during transection of liver parenchyma. Ultrasonic dissector and clamp crushing are the two techniques used most frequently in liver transection. In recent years, new instruments have been developed for liver transection with an aim to reduce bleeding. Other important advances in liver surgery that have contributed to improved perioperative outcomes include intraoperative ultrasound (IOUS), use of vascular staplers, and reduced bleeding by the development of low central venous pressure anesthesia. Laparoscopy is useful for staging purposes, and laparoscopic liver resection is gaining popularity due to the availability of new laparoscopic instruments for liver transection. Development of local ablative therapies for liver tumors, such as radiofrequency (RF) ablation, is posing a competition to liver resection. However, such techniques also have allowed expansion of indication for hepatic resection to patients with bilobar tumors, and thermal ablative technologies have been used for liver transection. This chapter reviews the current techniques of liver resection.
Persistent Identifierhttp://hdl.handle.net/10722/84427
ISSN
2015 SCImago Journal Rankings: 0.317

 

DC FieldValueLanguage
dc.contributor.authorPoon, RTen_HK
dc.date.accessioned2010-09-06T08:52:50Z-
dc.date.available2010-09-06T08:52:50Z-
dc.date.issued2004en_HK
dc.identifier.citationSurgical Technology International, 2004, v. 13, p. 71-77en_HK
dc.identifier.issn1090-3941en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84427-
dc.description.abstractThe role of liver resection for benign and malignant hepatobiliary diseases is expanding because of the markedly reduced operative mortality in recent years, as the result of better patient selection, improved surgical techniques, and better perioperative management. The major technical challenge of liver resection is control of bleeding during transection of liver parenchyma. Ultrasonic dissector and clamp crushing are the two techniques used most frequently in liver transection. In recent years, new instruments have been developed for liver transection with an aim to reduce bleeding. Other important advances in liver surgery that have contributed to improved perioperative outcomes include intraoperative ultrasound (IOUS), use of vascular staplers, and reduced bleeding by the development of low central venous pressure anesthesia. Laparoscopy is useful for staging purposes, and laparoscopic liver resection is gaining popularity due to the availability of new laparoscopic instruments for liver transection. Development of local ablative therapies for liver tumors, such as radiofrequency (RF) ablation, is posing a competition to liver resection. However, such techniques also have allowed expansion of indication for hepatic resection to patients with bilobar tumors, and thermal ablative technologies have been used for liver transection. This chapter reviews the current techniques of liver resection.en_HK
dc.languageengen_HK
dc.publisherUniversal Medical Press, Incorporated.en_HK
dc.relation.ispartofSurgical technology internationalen_HK
dc.titleRecent advances in techniques of liver resection.en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1090-3941&volume=13&spage=71&epage=77&date=2004&atitle=Recent+advances+in+techniques+of+liver+resectionen_HK
dc.identifier.emailPoon, RT: poontp@hkucc.hku.hken_HK
dc.identifier.authorityPoon, RT=rp00446en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid15744678-
dc.identifier.scopuseid_2-s2.0-21844465650en_HK
dc.identifier.hkuros99726en_HK
dc.identifier.volume13en_HK
dc.identifier.spage71en_HK
dc.identifier.epage77en_HK
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridPoon, RT=7103097223en_HK

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