Liver transection using vascular stapler: a review

Abstract

The clinical experience using a novel technique of liver resection with vascular staplers for dissection of hepatic parenchyma, was documented most recently in a prospective manner. These data have clearly demonstrated for the first time that stapler hepatectomy is a safe and fast dissection technique in major liver surgery (e.g. hepatectomy) which is feasible in a routine clinical setting.

Keywords: endo vascular stapler; liver resection; liver resection technique; parenchymal transection; stapler hepatectomy.

Figure 1.

Endo-GIA vascular stapler. Hepatectomies are performed in our department with endo-GIA vascular staplers. Picture depicts the compouds of the stapler.

Figure 2.

Stepwise transection of liver tissue for resection. (A) A straight clamp is used for fracturing of hepatic parenchyma. (B) Subsequently, this portion of liver is transected with a vascular stapler. (C) Vessels of the transectional plane are securely closed. (D) The clamp and the stapler are used in an alternating manner until complete resection of the liver is achieved.