Application of microwave tissue coagulator in laparoscopic hepatectomy for the patients with liver cirrhosis
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概要
- 論文の詳細を見る
Laparoscopic hepatectomy has not been widely accepted, and has only been performed at special centers in 1990s, due to difficulties in technique and control of bleeding. In the last decade, multiple series have reported that laparoscopic hepatectomy is safe and efficacious. Moreover, recent experience has persuaded us that there are great potential benefits derived from laparoscopic hepatectomy, and we learned much regarding patient selection, the grade of surgical difficulty according to tumor location and the required instrumentation. To minimize blood loss, a precoagulation technique was applied in which the resection line is diathermically coagulated before liver parenchymal transection. In this technique, laparoscopic microwave tissue coagulator is useful for the precoagulation on superficial layer of liver, especially in cirrhotic patients. Laparoscopic liver resection appears to be a viable surgical alternative as less invasive surgery in selected cases with appropriate application of surgical instruments.
- 特定非営利活動法人 Microwave Surgery研究会の論文
著者
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ISHII Jun
Division of Internal Medicine, Hokkaido Hospital for Social Health Insurance
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Kubota Yoshihisa
Division Of Comparative Radiotoxicology National Institute Of Radiological Sciences
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Otsuka Yuichiro
Division Of General And Gastroenterological Surgery Department Of Surgery (omori) Toho University Sc
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Maeda Tetsuya
Division Of Natural Environmental Science Graduate School Of Science And Technology Kumamoto Univers
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Tsuchiya Masaru
Division Of General And Gastroenterological Surgery Department Of Surgery (omori) Toho University Sc
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Katagiri Toshio
Division Of General And Gastroenterological Surgery Department Of Surgery (omori) Toho University Sc
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Tamura Akira
Division Of General And Gastroenterological Surgery Department Of Surgery (omori) Toho University Sc
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Kaneko Hironori
Division Of Cardiology Hoshi General Hospital
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KATAGIRI Toshio
Division of General and Gastroenterological Surgery, Department of Surgery (Omori), Toho University School of Medicine
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Maeda Tetsuya
Division of General and Gastroenterological Surgery, Department of Surgery (Omori), Toho University School of Medicine
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