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Adjuncts to Liver Resection

  • Ragini Kilambi
  • Senthil Kumar
Chapter
Part of the GI Surgery Annual book series (GISA, volume 25)

Abstract

Liver resection is based on a sound understanding of segmental anatomy which essentially defines the relationship between elements of the vasculobiliary tree and its associated parenchyma, made largely of organized cords of hepatocytes. Carl Langenbuch is credited with performing the first elective liver resection in 1888. The initial approaches focussed on directly splitting the parenchyma by mechanical means (finger ‘fracture’ or ‘Kelly-clysis’) with bleeding controlled by sutures as it arose. Pringle, in 1908, reported temporary occlusion of vascular inflow at the porta as a means of reducing blood loss while transecting the liver.

Notes

Conflict of Interest Statement

The authors declare no conflicts of interest. The list of commercially available devices and products is by no means complete, and several other products may be available in each category which are beyond the scope of this review.

References

  1. 1.
    Delva E, Camus Y, Nordlinger B, Hannoun L, Parc R, Deriaz H, et al. Vascular occlusions for liver resections. Operative management and tolerance to hepatic ischemia: 142 cases. Ann Surg. 1989;209(2):211–8.PubMedPubMedCentralCrossRefGoogle Scholar
  2. 2.
    Procopio F, Torzilli G. Forty-nine colorectal cancer liver metastases in one-stage hepatectomy with cumulative Pringle time lasting 348 min. Updat Surg. 2012;64(3):241–3.CrossRefGoogle Scholar
  3. 3.
    Wu C-C, Hwang C-R, Liu T-J, P’eng F-K. Effects and limitations of prolonged intermittent ischaemia for hepatic resection of the cirrhotic liver. Br J Surg. 1996;83(1):121–4.PubMedCrossRefGoogle Scholar
  4. 4.
    van Riel WG, van Golen RF, Reiniers MJ, Heger M, van Gulik TM. How much ischemia can the liver tolerate during resection? Hepatobiliary Surg Nutr. 2016;5(1):58–71.PubMedPubMedCentralGoogle Scholar
  5. 5.
    Clavien PA, Yadav S, Sindram D, Bentley RC. Protective effects of ischaemic preconditioning for liver resection performed under inflow occlusion in humans. Ann Surg. 2000;232(2):155–62.Google Scholar
  6. 6.
    Hughes MJ, Ventham NT, Harrison EM, Wigmore SJ. Central venous pressure and liver resection: a systematic review and meta-analysis. HPB. 2015;17(10):863–71.PubMedPubMedCentralCrossRefGoogle Scholar
  7. 7.
    Schnitzbauer AA, Lang SA, Goessmann H, Nadalin S, Baumgart J, Farkas SA, et al. Right portal vein ligation combined with in situ splitting induces rapid left lateral liver lobe hypertrophy enabling 2-staged extended right hepatic resection in small-for-size settings. Ann Surg. 2012;255(3):405–14.PubMedCrossRefGoogle Scholar
  8. 8.
    Lin TY. Results in 107 hepatic lobectomies with a preliminary report on the use of a clamp to reduce blood loss. Ann Surg. 1973;177(4):413–21.PubMedPubMedCentralCrossRefGoogle Scholar
  9. 9.
    Lin T-Y. A simplified technique for hepatic resection: the crush method. Ann Surg. 1974;180(3):285–90.PubMedPubMedCentralCrossRefGoogle Scholar
  10. 10.
    Moggia E, Rouse B, Simillis C, Li T, Vaughan J, Davidson BR, et al. Methods to decrease blood loss during liver resection: a network meta-analysis. Cochrane Database Syst Rev. 2016;10:CD010683.PubMedGoogle Scholar
  11. 11.
    Rahbari NN, Koch M, Schmidt T, Motschall E, Bruckner T, Weidmann K, et al. Meta-analysis of the clamp-crushing technique for transection of the parenchyma in elective hepatic resection: back to where we started? Ann Surg Oncol. 2009;16(3):630–9.PubMedCrossRefGoogle Scholar
  12. 12.
    Koo BN, Kil HK, Choi J-S, Kim JY, Chun DH, Hong YW. Hepatic resection by the Cavitron Ultrasonic Surgical Aspirator increases the incidence and severity of venous air embolism. Anesth Analg. 2005;101(4):966–70, table of contents.PubMedCrossRefGoogle Scholar
  13. 13.
    Fan ST, Lai EC, Lo CM, Chu KM, Liu CL, Wong J. Hepatectomy with an ultrasonic dissector for hepatocellular carcinoma. Br J Surg. 1996;83(1):117–20.PubMedCrossRefGoogle Scholar
  14. 14.
    Takayama T, Makuuchi M, Kubota K, Harihara Y, Hui AM, Sano K, et al. Randomized comparison of ultrasonic vs clamp transection of the liver. Arch Surg. 2001;136(8):922–8.PubMedCrossRefGoogle Scholar
  15. 15.
    Lochan R, Ansari I, Coates R, Robinson SM, White SA. Methods of haemostasis during liver resection—a UK national survey. Dig Surg. 2013;30(4–6):375–82.PubMedCrossRefGoogle Scholar
  16. 16.
    Rau HG, Duessel AP, Wurzbacher S. The use of water-jet dissection in open and laparoscopic liver resection. HPB. 2008;10(4):275–80.PubMedPubMedCentralCrossRefGoogle Scholar
  17. 17.
    Kim J, Ahmad SA, Lowy AM, Buell JF, Pennington LJ, Soldano DA, et al. Increased biliary fistulas after liver resection with the harmonic scalpel. Am Surg. 2003;69(9):815–9.PubMedGoogle Scholar
  18. 18.
    Mbah NA, Brown RE, Bower MR, Scoggins CR, McMasters KM, Martin RCG. Differences between bipolar compression and ultrasonic devices for parenchymal transection during laparoscopic liver resection. HPB. 2012;14(2):126–31.PubMedPubMedCentralCrossRefGoogle Scholar
  19. 19.
    Jagannath P, Chhabra DG, Sutariya KR, Shah RC. Fusion technique for liver transection with Kelly-clysis and harmonic technology. World J Surg. 2010;34(1):101–5.PubMedCrossRefGoogle Scholar
  20. 20.
    Nanashima A, Tobinaga S, Abo T, Nonaka T, Sawai T, Nagayasu T. Usefulness of the combination procedure of crash clamping and vessel sealing for hepatic resection. J Surg Oncol. 2010;102(2):179–83.PubMedCrossRefGoogle Scholar
  21. 21.
    Patrlj L, Tuorto S, Fong Y. Combined blunt-clamp dissection and LigaSure ligation for hepatic parenchyma dissection: postcoagulation technique. J Am Coll Surg. 2010;210(1):39–44.PubMedCrossRefGoogle Scholar
  22. 22.
    Nanashima A, Abo T, Arai J, Takagi K, Matsumoto H, Takeshita H, et al. Usefulness of vessel-sealing devices combined with crush clamping method for hepatectomy: a retrospective cohort study. Int J Surg. 2013;11(9):891–7.PubMedCrossRefGoogle Scholar
  23. 23.
    Saiura A, Yamamoto J, Koga R, Seki M, Yamaguchi T. Liver transection using the LigaSure sealing system. HPB. 2008;10(4):239–43.PubMedPubMedCentralCrossRefGoogle Scholar
  24. 24.
    Romano F, Franciosi C, Caprotti R, Uggeri F, Uggeri F. Hepatic surgery using the Ligasure vessel sealing system. World J Surg. 2005;29(1):110–2.PubMedCrossRefGoogle Scholar
  25. 25.
    Ikeda M, Hasegawa K, Sano K, Imamura H, Beck Y, Sugawara Y, et al. The vessel sealing system (LigaSure) in hepatic resection: a randomized controlled trial. Ann Surg. 2009;250(2):199–203.PubMedCrossRefGoogle Scholar
  26. 26.
    Weber J-C, Navarra G, Jiao LR, Nicholls JP, Jensen SL, Habib NA. New technique for liver resection using heat coagulative necrosis. Ann Surg. 2002;236(5):560–3.PubMedPubMedCentralCrossRefGoogle Scholar
  27. 27.
    Ayav A, Jiao L, Dickinson R, Nicholls J, Milicevic M, Pellicci R, et al. Liver resection with a new multiprobe bipolar radiofrequency device. Arch Surg. 2008;143(4):396–401.PubMedCrossRefGoogle Scholar
  28. 28.
    Lupo L, Gallerani A, Panzera P, Tandoi F, Palma GD, Memeo V. Randomized clinical trial of radiofrequency-assisted versus clamp-crushing liver resection. Br J Surg. 2007;94(3):287–91.PubMedCrossRefGoogle Scholar
  29. 29.
    Pai M, Frampton AE, Mikhail S, Resende V, Kornasiewicz O, Spalding DR, et al. Radiofrequency assisted liver resection: analysis of 604 consecutive cases. Eur J Surg Oncol. 2012;38(3):274–80.PubMedCrossRefGoogle Scholar
  30. 30.
    Tabuse K, Katsumi M. Application of a microwave tissue coagulator to hepatic surgery the hemostatic effects on spontaneous rupture of hepatoma and tumor necrosis. Nihon Geka Hokan. 1981;50(4):571–9.PubMedGoogle Scholar
  31. 31.
    Lau WY, Arnold M, Guo SK, Li AK. Microwave tissue coagulator in liver resection for cirrhotic patients. Aust N Z J Surg. 1992;62(7):576–81.PubMedCrossRefGoogle Scholar
  32. 32.
    Sasaki K, Matsuda M, Hashimoto M, Watanabe G. Liver resection for hepatocellular carcinoma using a microwave tissue coagulator: experience of 1118 cases. World J Gastroenterol. 2015;21(36):10400–8.PubMedPubMedCentralCrossRefGoogle Scholar
  33. 33.
    Currò G, Lazzara S, Barbera A, Cogliandolo A, Dattola A, De Marco ML, et al. The Aquamantys® system as alternative for parenchymal division and hemostasis in liver resection for hepatocellular carcinoma: a preliminary study. Eur Rev Med Pharmacol Sci. 2014;18(2 Suppl):2–5.PubMedGoogle Scholar
  34. 34.
    Kaibori M, Matsui K, Ishizaki M, Sakaguchi T, Matsushima H, Matsui Y, et al. A prospective randomized controlled trial of hemostasis with a bipolar sealer during hepatic transection for liver resection. Surgery. 2013;154(5):1046–52.PubMedCrossRefGoogle Scholar
  35. 35.
    Patrizi A, Jezequel C, Sulpice L, Meunier B, Rayar M, Boudjema K. Disposable bipolar irrigated sealer (Aquamantys(®)) for liver resection: use with caution. Updat Surg. 2016;68(2):171–7.CrossRefGoogle Scholar
  36. 36.
    Xia F, et al. The use of saline-linked radiofrequency dissecting sealer for liver transection in patients with cirrhosis. J Surg Res. 2008;149:110. [cited 2018 Jul 27]. https://www.ncbi.nlm.nih.gov/pubmed/18541264.PubMedCrossRefGoogle Scholar
  37. 37.
    Raoof M, Aloia TA, Vauthey J-N, Curley SA. Morbidity and mortality in 1,174 patients undergoing hepatic parenchymal transection using a stapler device. Ann Surg Oncol. 2014;21(3):995–1001.PubMedCrossRefGoogle Scholar
  38. 38.
    Schemmer P, Friess H, Hinz U, Mehrabi A, Kraus TW, Z’graggen K, et al. Stapler hepatectomy is a safe dissection technique: analysis of 300 patients. World J Surg. 2006;30(3):419–30.PubMedCrossRefGoogle Scholar
  39. 39.
    Buell JF, Gayet B, Han H-S, Wakabayashi G, Kim K-H, Belli G, et al. Evaluation of stapler hepatectomy during a laparoscopic liver resection. HPB. 2013;15(11):845–50.PubMedPubMedCentralCrossRefGoogle Scholar
  40. 40.
    Wang W-X, Fan S-T. Use of the Endo-GIA vascular stapler for hepatic resection. Asian J Surg. 2003;26(4):193–6.PubMedCrossRefGoogle Scholar
  41. 41.
    Lesurtel M, Selzner M, Petrowsky H, McCormack L, Clavien P-A. How should transection of the liver be performed? Ann Surg. 2005;242(6):814–23.PubMedPubMedCentralCrossRefGoogle Scholar
  42. 42.
    Arita J, Hasegawa K, Kokudo N, Sano K, Sugawara Y, Makuuchi M. Randomized clinical trial of the effect of a saline-linked radiofrequency coagulator on blood loss during hepatic resection. Br J Surg. 2005;92(8):954–9.PubMedCrossRefGoogle Scholar
  43. 43.
    Gotohda N, Yamanaka T, Saiura A, Uesaka K, Hashimoto M, Konishi M, et al. Impact of energy devices during liver parenchymal transection: a multicenter randomized controlled trial. World J Surg. 2015;39(6):1543–9.PubMedCrossRefGoogle Scholar
  44. 44.
    Chavez-Tapia NC, Alfaro-Lara R, Tellez-Avila F, Barrientos-Gutiérrez T, González-Chon O, Mendez-Sanchez N, et al. Prophylactic activated recombinant factor VII in liver resection and liver transplantation: systematic review and meta-analysis. PLoS One. 2011;6(7):e22581. [cited 2018 Jul 28]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3144913/.PubMedPubMedCentralCrossRefGoogle Scholar
  45. 45.
    Shimada M, Matsumata T, Kamakura T, Hayashi H, Urata K, Sugimachi K. Modulation of coagulation and fibrinolysis in hepatic resection: a randomized prospective control study using antithrombin III concentrates. Thromb Res. 1994;74(2):105–14.PubMedCrossRefGoogle Scholar
  46. 46.
    Wong AYC, Irwin MG, Hui TWC, Fung SKY, Fan ST, Ma ESK. Desmopressin does not decrease blood loss and transfusion requirements in patients undergoing hepatectomy. Can J Anesth. 2003;50(1):14–20.PubMedCrossRefGoogle Scholar
  47. 47.
    Lentschener C, Benhamou D, Mercier FJ, Boyer-Neumann C, Naveau S, Smadja C, et al. Aprotinin reduces blood loss in patients undergoing elective liver resection. Anesth Analg. 1997;84(4):875–81.PubMedCrossRefGoogle Scholar
  48. 48.
    Wu C-C, Ho W-M, Cheng S-B, Yeh D-C, Wen M-C, Liu T-J, et al. Perioperative parenteral tranexamic acid in liver tumor resection. Ann Surg. 2006;243(2):173–80.PubMedPubMedCentralCrossRefGoogle Scholar
  49. 49.
    Gurusamy KS, Li J, Sharma D, Davidson BR. Pharmacological interventions to decrease blood loss and blood transfusion requirements for liver resection. Cochrane Database Syst Rev. 2009;(4):CD008085.Google Scholar
  50. 50.
    Haessler H, Stebbins MG. Effect of bile on the clotting time of blood. J Exp Med. 1919;29(5):445–9.PubMedPubMedCentralCrossRefGoogle Scholar
  51. 51.
    Fonouni H, Kashfi A, Stahlheber O, Konstantinidis L, Kraus TW, Mehrabi A, et al. Analysis of the biliostatic potential of two sealants in a standardized porcine model of liver resection. Am J Surg. 2017;214(5):945–55.PubMedCrossRefGoogle Scholar
  52. 52.
    Figueras J, Llado L, Miro M, Ramos E, Torras J, Fabregat J, et al. Application of fibrin glue sealant after hepatectomy does not seem justified. Ann Surg. 2007;245(4):536–42.PubMedPubMedCentralCrossRefGoogle Scholar
  53. 53.
    Noun R, Elias D, Balladur P, Bismuth H, Parc R, Lasser P, et al. Fibrin glue effectiveness and tolerance after elective liver resection: a randomized trial. Hepato-Gastroenterology. 1996;43(7):221–4.PubMedGoogle Scholar
  54. 54.
    Sanjay P, Watt DG, Wigmore SJ. Systematic review and meta-analysis of haemostatic and biliostatic efficacy of fibrin sealants in elective liver surgery. J Gastrointest Surg. 2013;17(4):829–36.PubMedCrossRefGoogle Scholar
  55. 55.
    Brustia R, Granger B, Scatton O. An update on topical haemostatic agents in liver surgery: systematic review and meta analysis. J Hepatobiliary Pancreat Sci. 2016;23(10):609–21.PubMedCrossRefGoogle Scholar
  56. 56.
    Nakajima Y, Shimamura T, Kamiyama T, Matsushita M, Sato N, Todo S. Control of intraoperative bleeding during liver resection: analysis of a questionnaire sent to 231 Japanese hospitals. Surg Today. 2002;32(1):48–52.PubMedCrossRefGoogle Scholar
  57. 57.
    Boonstra EA, Molenaar IQ, Porte RJ, de Boer MT. Topical haemostatic agents in liver surgery: do we need them? HPB. 2009;11(4):306–10.PubMedPubMedCentralCrossRefGoogle Scholar
  58. 58.
    Nouri S, Sharif MR. Use of ferric sulfate to control hepatic bleeding. Trauma Mon. 2015;20(1):e25257.PubMedPubMedCentralGoogle Scholar
  59. 59.
    Poon RT, Fan ST, Wong J. Liver resection using a saline-linked radiofrequency dissecting sealer for transection of the liver. J Am Coll Surg. 2005;200(2):308–13.PubMedCrossRefGoogle Scholar
  60. 60.
    Goéré D, Farges O, Leporrier J, Sauvanet A, Vilgrain V, Belghiti J. Chemotherapy does not impair hypertrophy of the left liver after right portal vein obstruction. J Gastrointest Surg. 2006;10(3):365–70.PubMedCrossRefGoogle Scholar
  61. 61.
    Imamura H, Shimada R, Kubota M, Matsuyama Y, Nakayama A, Miyagawa S, et al. Preoperative portal vein embolization: an audit of 84 patients. Hepatology. 1999;29(4):1099–105.PubMedCrossRefGoogle Scholar
  62. 62.
    Leung U, Simpson AL, Araujo RLC, Gönen M, McAuliffe C, Miga MI, et al. Remnant growth rate after portal vein embolization is a good early predictor of post-hepatectomy liver failure. J Am Coll Surg. 2014;219(4):620–30.PubMedPubMedCentralCrossRefGoogle Scholar
  63. 63.
    Shindoh J, Truty MJ, Aloia TA, Curley SA, Zimmitti G, Huang SY, et al. Kinetic growth rate after portal vein embolization predicts posthepatectomy outcomes: toward zero liver-related mortality in patients with colorectal liver metastases and small future liver remnant. J Am Coll Surg. 2013;216(2):201–9.PubMedCrossRefGoogle Scholar
  64. 64.
    Shindoh J, Vauthey J-N, Zimmitti G, Curley SA, Huang SY, Mahvash A, et al. Analysis of the efficacy of portal vein embolization for patients with extensive liver malignancy and very low future liver remnant volume, including a comparison with the associating liver partition with portal vein ligation for staged hepatectomy approach. J Am Coll Surg. 2013;217(1):126–33; discussion 133-134.PubMedCrossRefGoogle Scholar
  65. 65.
    Abdalla EK, Adam R, Bilchik AJ, Jaeck D, Vauthey J-N, Mahvi D. Improving resectability of hepatic colorectal metastases: expert consensus statement. Ann Surg Oncol. 2006;13(10):1271–80.PubMedCrossRefGoogle Scholar
  66. 66.
    Ribero D, Chun YS, Vauthey J-N. Standardized liver volumetry for portal vein embolization. Semin Interv Radiol. 2008;25(2):104–9.CrossRefGoogle Scholar
  67. 67.
    Dixon E, Abdalla E, Schwarz RE, Vauthey J-N. AHPBA/SSO/SSAT sponsored consensus conference on multidisciplinary treatment of hepatocellular carcinoma. HPB. 2010;12(5):287–8.PubMedPubMedCentralCrossRefGoogle Scholar
  68. 68.
    Truant S, Oberlin O, Sergent G, Lebuffe G, Gambiez L, Ernst O, et al. Remnant liver volume to body weight ratio > or =0.5%: a new cut-off to estimate postoperative risks after extended resection in noncirrhotic liver. J Am Coll Surg. 2007;204(1):22–33.PubMedCrossRefGoogle Scholar
  69. 69.
    Shirabe K, Shimada M, Gion T, Hasegawa H, Takenaka K, Utsunomiya T, et al. Postoperative liver failure after major hepatic resection for hepatocellular carcinoma in the modern era with special reference to remnant liver volume. J Am Coll Surg. 1999;188(3):304–9.PubMedCrossRefGoogle Scholar
  70. 70.
    van Lienden KP, van den Esschert JW, de Graaf W, Bipat S, Lameris JS, van Gulik TM, et al. Portal vein embolization before liver resection: a systematic review. Cardiovasc Intervent Radiol. 2013;36(1):25–34.PubMedCrossRefGoogle Scholar
  71. 71.
    Kimmings AN, van Deventer SJ, Obertop H, Rauws EA, Huibregtse K, Gouma DJ. Endotoxin, cytokines, and endotoxin binding proteins in obstructive jaundice and after preoperative biliary drainage. Gut. 2000;46(5):725–31.PubMedPubMedCentralCrossRefGoogle Scholar
  72. 72.
    Cherqui D, Benoist S, Malassagne B, Humeres R, Rodriguez V, Fagniez PL. Major liver resection for carcinoma in jaundiced patients without preoperative biliary drainage. Arch Surg. 2000;135(3):302–8.PubMedCrossRefGoogle Scholar
  73. 73.
    Sauvanet A, Boher J-M, Paye F, Bachellier P, Sa Cuhna A, Le Treut Y-P, et al. Severe jaundice increases early severe morbidity and decreases long-term survival after pancreaticoduodenectomy for pancreatic adenocarcinoma. J Am Coll Surg. 2015;221(2):380–9.PubMedCrossRefGoogle Scholar
  74. 74.
    Padillo FJ, Muntane J, Montero JL, Briceño J, Miño G, Solorzano G, et al. Effect of internal biliary drainage on plasma levels of endotoxin, cytokines, and C-reactive protein in patients with obstructive jaundice. World J Surg. 2002;26(11):1328–32.PubMedCrossRefGoogle Scholar
  75. 75.
    Ribero D, Zimmitti G, Aloia TA, Shindoh J, Fabio F, Amisano M, et al. Preoperative cholangitis and future liver remnant volume determine the risk of liver failure in patients undergoing resection for hilar cholangiocarcinoma. J Am Coll Surg. 2016;223(1):87–97.PubMedPubMedCentralCrossRefGoogle Scholar
  76. 76.
    Abdel Wahab M, El Hanafy E, El Nakeeb A, Hamdy E, Atif E, Sultan AM. Postoperative outcome after major liver resection in jaundiced patients with proximal bile duct cancer without preoperative biliary drainage. Dig Surg. 2015;32(6):426–32.PubMedCrossRefGoogle Scholar
  77. 77.
    Torzilli G, Procopio F, Botea F, Marconi M, Del Fabbro D, Donadon M, et al. One-stage ultrasonographically guided hepatectomy for multiple bilobar colorectal metastases: a feasible and effective alternative to the 2-stage approach. Surgery. 2009;146(1):60–71.PubMedCrossRefGoogle Scholar
  78. 78.
    Torzilli G, Viganò L, Cimino M, Imai K, Vibert E, Donadon M, et al. Is enhanced one-stage hepatectomy a safe and feasible alternative to the two-stage hepatectomy in the setting of multiple bilobar colorectal liver metastases? A comparative analysis between two pioneering centers. Dig Surg. 2018;35(4):323–32.PubMedCrossRefGoogle Scholar
  79. 79.
    Thomas MN, Weninger E, Angele M, Bösch F, Pratschke S, Andrassy J, et al. Intraoperative simulation of remnant liver function during anatomic liver resection with indocyanine green clearance (LiMON) measurements. HPB. 2015;17(6):471–6.PubMedPubMedCentralCrossRefGoogle Scholar
  80. 80.
    Lau L, Christophi C, Nikfarjam M, Starkey G, Goodwin M, Weinberg L, et al. Assessment of liver remnant using ICG clearance intraoperatively during vascular exclusion: early experience with the ALIIVE technique. HPB Surg. 2015;2015:757052.PubMedPubMedCentralGoogle Scholar
  81. 81.
    Majlesara A, Golriz M, Hafezi M, Saffari A, Stenau E, Maier-Hein L, et al. Indocyanine green fluorescence imaging in hepatobiliary surgery. Photodiagn Photodyn Ther. 2017;17:208–15.CrossRefGoogle Scholar
  82. 82.
    Kaibori M, Ishizaki M, Matsui K, Kwon AH. Intraoperative indocyanine green fluorescent imaging for prevention of bile leakage after hepatic resection. Surgery. 2011;150(1):91–8.PubMedCrossRefGoogle Scholar
  83. 83.
    Sgourakis G, Lantis S, Kontovounisios C, Korontzi M, Karaliotas C, Zacharioudakis K, et al. Hepatic vascular occlusion during liver resection. Hell J Surg. 2010;10:310–7.CrossRefGoogle Scholar
  84. 84.
    Maithel SK, Jarnagin WR. Adjuncts to liver surgery: is acute normovolemic hemodilution useful for major hepatic resections? Adv Surg. 2009;43:259–68.PubMedCrossRefGoogle Scholar
  85. 85.
    Hirokawa F, Hayashi M, Miyamoto Y, Iwamoto M, Tsunematsu I, Asakuma M, et al. A novel method using the VIO soft-coagulation system for liver resection. Surgery. 2011;149:438–44.PubMedCrossRefGoogle Scholar
  86. 86.
    Ng KM, Chua TC, Saxena A, Zhao J, Chu F, Morris DL. Two decades of experience with hepatic cryotherapy for advanced colorectal metastases. Ann Surg Oncol. 2012;19:1276–83.PubMedCrossRefGoogle Scholar
  87. 87.
    van der Vorst JR, Schaafsma BE, Hutteman M, Verbeek FP, Liefers GJ, Hartgrink HH, et al. Near-infrared fluorescence-guided resection of colorectal liver metastases. Cancer. 2013;119:3411–8.PubMedPubMedCentralCrossRefGoogle Scholar
  88. 88.
    Kenngott HG, Wagner M, Gondan M, Nickel F, Nolden M, Fetzer A, et al. Real-time image guidance in laparoscopic liver surgery: first clinical experience with a guidance system based on intraoperative CT imaging. Surg Endosc. 2014;28:933–40.PubMedCrossRefGoogle Scholar
  89. 89.
    Hermon B, Zahraee AH, Szewczyk J, Morel G, Bourdin C, Verche J-L, et al. Ergonomic and gesture performance of robotized instruments for laparoscopic surgery. 2011 IEEE/RSJ International Conference on Intelligent Robots and Systems.  https://doi.org/10.1109/IROS.2011.6094449.
  90. 90.
    Leung U, Fong Y. Robotic liver surgery. Hepatobiliary Surg Nutr. 2014;3:288–94.PubMedPubMedCentralGoogle Scholar

Copyright information

© Indian Association of Surgical Gastroenterology 2019

Authors and Affiliations

  • Ragini Kilambi
    • 1
  • Senthil Kumar
    • 1
  1. 1.Institute of Liver and Biliary SciencesNew DelhiIndia

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