Liver surgery with ultrasonic instruments
Precise hepatic parenchymal transection with minimal bleeding
Liver surgery is one of the most demanding disciplines in soft tissue surgery. One of the primary goals of liver resection is to operate with as little bleeding as possible and at the same time to preserve vessels and bile ducts.
The ultrasonic instruments for liver surgery leads to a gentle and precise fragmentation of the liver parenchyma. The technology uses the cavitation effect and the mechanical effect of ultrasound. In this process, solid connective tissue structures of vessels and bile ducts are protected
Main indications in liver surgery
- liver cell carcinoma (hepatocellular carcinoma (HCC))
- bile duct carcinoma (cholangiocellular carcinoma (CCC))
- liver metastases (e.g. colorectal liver metastases)
- partial living donor liver transplant (LDLT)
High-frequency coagulation function
In addition to the proven ultrasonic technology, the ultrasonic instruments offer a monopolar high-frequency (HF) coagulation function. It can be conveniently activated by hand and allows the surgeon to independently coagulate small vessels during surgery.
Laparoscopic ultrasonic dissection
Laparoscopic liver resection is a young, aspiring technique of modern surgery. Compared to open surgery, it is associated with less blood loss, fewer complications and shorter recovery times.1
1 Kobayashi S, Fukui K, Takeda Y, Nakahira S, Tsujie M, Shimizu J8, Miyamoto A, Eguchi H, Nagano H, Doki Y, Mori M.: Short-term outcomes of open liver resection and laparoscopic liver resection: Secondary analysis of data from a multicenter prospective study (CSGO-HBP-004). Ann Gastroenterol Surg. 2017; 2(1):87-94. doi: 10.1002/ags3.12046. eCollection 2018 Jan