Hepatic resection using a water jet dissector

HPB Surg. 1993;6(3):189-96; discussion 196-8. doi: 10.1155/1993/82362.

Abstract

The mortality and morbidity in major hepatic resection is often related to hemorrhage. A high pressure, high velocity water jet has been developed and has been utilized to assist in hepatic parenchymal transection. Sixty-seven major hepatic resections were performed for solid hepatic tumors. The tissue fracture technique was used in 51 patients (76%), and the water jet dissector was used predominantly in 16 patients (24%). The extent of hepatic resection using each technique was similar. The results showed no difference in operative duration (p = .499). The mean estimated blood loss using the water jet was 1386 ml, and tissue fracture technique 2450 ml (p = .217). Transfusion requirements were less in the water jet group (mean 2.0 units) compared to the tissue fracture group (mean 5.2 units); (p = .023). Results obtained with the new water dissector are encouraging. The preliminary results suggest that blood loss may be diminished.

MeSH terms

  • Adenoma, Bile Duct / secondary
  • Adenoma, Bile Duct / surgery
  • Adult
  • Bile Duct Neoplasms
  • Biliary Fistula / etiology
  • Blood Loss, Surgical
  • Blood Transfusion
  • Carcinoma, Hepatocellular / surgery
  • Dissection / adverse effects
  • Dissection / instrumentation*
  • Female
  • Hemoglobins / analysis
  • Hepatectomy / adverse effects
  • Hepatectomy / instrumentation
  • Hepatectomy / methods*
  • Humans
  • Liver Neoplasms / secondary
  • Liver Neoplasms / surgery
  • Male
  • Middle Aged
  • Survival Rate
  • Time Factors
  • Water

Substances

  • Hemoglobins
  • Water