Partial liver resection with ERBEJET® 2
- Hepatocellular carcinoma
- metastases; arising from colorectal cancer
- Living donor / liver transplantation
Incision of the liver capsule
This step is performed using bipolar scissors, for example the ERBE BiSect.
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.
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.
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.