Partial liver resection with ERBEJET® 2
- Hepatocellular carcinoma
- metastases; arising from colorectal cancer
- Split-Liver
- Living donor / liver transplantation
- Protection of vessels
- Good visibility at the operative site due to integrated irrigation and suction
- Minimized bleeding, controlled management of bleeding
- Reduction in the need for blood transfusions
- Shorter operation times
- For open and laparoscopic surgery
Operation steps
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Incision of the liver capsule
This step is performed using bipolar scissors, for example the ERBE BiSect.
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Preparation and exposition of hepatic vascular structures
During resection of the liver the blood vessels and bile ducts are prepared and washed free of surrounding tissue. A cross-clamping of the blood supply to the organ (Pringle maneuver) is generally not necessary.
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Sealing and dissection of the hepatic vessels
Depending on their size, the vessels can then be either thermofused or selectively treated using a ligature/clip.
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Coagulation of the resection bed using argon plasma coagulation (APC)
APC can be used for uniform surface coagulation of the resection bed. As APC is a non-contact procedure, it prevents surfaces or vessels that have already been coagulated from being torn open again.
