• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

An extracorponeal hepatic inflow control for pure laparoscopic liver resection can extend an indication of liver resection

Toru Mizuguchi, Makoto Meguro, Kenji Okita, Tohsihiko Nishidate, Tomomi Ueki, Emi Akizuki, Masafumi Imamura, Goro Kutomi, Yasutoshi Kimura, Ichiro Takemasa. Sapporo Medical University

Factors Pr group (N=9) NPr group (N=38) P
Clinical demographics

Sex (M:F)

4:5 23:15 0.609
Age (Years) 60.8 + 12.9 65.7 + 10.6 0.231
Albumin (g/dl) 3.86 + 0.37 4.06 + 0.33 0.167
ICG R15 (%) 14.5 + 9.7 9.8 + 5.1 0.046
Tumor sizes (cm) 1.8 + 0.7 3.3 + 2.1 0.041
Tumor numbers 1.4 + 1.3 1.3 + 0.6 0.535
Operation time (min) 231.3 + 104.4 323.7 + 99.4 0.017
Bleeding (ml) 71.7 + 145.8 131.9 + 175.9 0.347
Complication (Y:N) 0:9 1:37 0.999

Backgroud: We have developed an extracorponeal device to control hepatic inflow for pure laparoscopic liver resection (pure Lap).  The technique is simple by clamping outside the abdominal wall using a long silicone tube and polyester tape.  Aim of this report is to show that our technique successfully controls bleeding and enables pure Lap to be completed without increasing any risk even for a large tumor.     

Methods : We developed an extracorponeal device which composed a 30 cm silicone tube 10 mm in diameter and a 100 cm long polyester tape 5 mm wide.   A prospective study of pure Lap was initiated in January 2010.  We have used a new Pringle method outside the abdominal wall in 2009 and applied an US patent in 2011.  We compared the consecutive patients who received pure Lap with (Pr group: n=38) and without (NPr group: n=9) this Pringle maneuver.

Results: There was no difference between the groups regarding clinical demographics except ICG R15 levels (9.8 + 5.1% in the Pr group vs. 14.5 + 9.7% in the NPr group: P=0.041).  There was no difference of surgical complication between the groups (18.4% in the Pr group vs 22.2% in the NPr group: P=0.999).  Although tumor size in the Pr group was significantly larger than in the NPr group (3.3 + 2.1 vs. 1.8 + 0.7 cm, respectively: P=0.041), intraoperative bleeding was not significantly different (131.9 +175.9 ml in the Pr group vs. 71.7 + 145.8 ml in the NPr group).  On the other hand, operation time in the Pr group was significantly longer than in the NPr group (323.7 + 99.4 min. vs. 231.3 + 104.4 min., respectively: P=0.017). 

Conclusion : We confirmed a clinical safety of the device for controlling hepatic inflow  outside the abdominal wall for pure Lap.  Although we have no open-conversion case so far, hepatic inflow control can be achievable during extend wound for open surgery and use it after the conversion for open surgery.  Pure Lap for large tumors is feasible when employing this method. 

47

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2016 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons