Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2008;10(4):249-52.
doi: 10.1080/13651820802166930.

Liver transection using vascular stapler: a review

Peter Schemmer  1 , Helge Bruns, Jürgen Weitz, Jan Schmidt, Markus W Büchler
Affiliations

Liver transection using vascular stapler: a review

Peter Schemmer et al. HPB (Oxford). 2008.

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.

PubMed Disclaimer

Figures

Figure 1.
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.
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.
See this image and copyright information in PMC

References

    1. Delaitre B, Maignien B. Laparoscopic splenectomy—technical aspects. Surg Endosc. 1992;6:305–8. - PubMed
    1. Chowbey PK, Sharma A, Khullar R, Mann V, Baijal M, Vashistha A. Laparoscopic subtotal cholecystectomy: a review of 56 procedures. J Laparoendosc Adv Surg Tech A. 2000;10:31–4. - PubMed
    1. Sugarbaker DJ, Mentzer SJ. Improved technique for hilar vascular stapling. Ann Thorac Surg. 1992;53:165–6. - PubMed
    1. Klaiber C, Wagner M, Metzger A. Various stapling techniques in laparoscopic appendectomy: 40 consecutive cases. Surg Laparosc Endosc. 1994;4:205–9. - PubMed
    1. Lewis RJ. The role of video-assisted thoracic surgery for carcinoma of the lung: wedge resection to lobectomy by simultaneous individual stapling. Ann Thorac Surg. 1993;56:762–8. - PubMed

LinkOut - more resources