Laparoscopy-assisted hepatectomy using the Endoclose: a case report.

S. Maehara, N. Harimoto, E. Tsujita, T. Rikimaru, Y. Yamashita, S. Tanaka, E. Adachi, K. Shirabe, M. Shimada, K. Sugimachi

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Hemostasis of a resected stump of liver is extremely difficult in laparoscopic hepatectomy. Although Pringle's maneuver, which is a total clamping of the hepatoduodenal ligament, is a useful technique, it is often difficult in laparoscopic circumstances. Moreover, total inflow occlusion leads to postoperative liver damage. Therefore, the local bleeding method is ideal. The Endoclose, a device for port site closure, is formed from an outer sheath and an inner needle with a notch to load the suture. The Endoclose is loaded with a suture and passed through the liver. The suture is left under the liver, and the device is removed. Next, the suture carrier is passed through the liver at an appropriate distance, and the suture is regrasped by this suture carrier and brought out of the liver. Herein we report a case in which a new bleeding control method using Endoclose was introduced for laparoscopy-assisted hepatectomy.

Original languageEnglish
Pages (from-to)1363-1364
Number of pages2
JournalSurgical endoscopy
Volume16
Issue number9
Publication statusPublished - Sep 2002

All Science Journal Classification (ASJC) codes

  • Surgery

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