Debakey Forceps Crushing Technique for Hepatic Parenchymal Transection in Liver Surgery : A Review of 100 Cases and Ergonomic Advantages
Joint Authors
Jain, Lokendra
Sharma, Bharat
Kaushik, Mitesh
Jain, Sundeep
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-09
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Introduction and Objective.
Bleeding is an important complication in liver transections.
To determine the safety and efficacy of Debakey forceps for liver parenchymal transection and its ergonomic advantages over clamp crushing method we analysed our data.
Methods.
We used Debakey crushing technique in 100 liver resections and analysed data for transection time, transfusion rate, morbidity, mortality, hospital stay, influence of different types of liver conditions, and ergonomi features of Debakey forceps.
Results.
Mean age, transection time and hospital stay of 100 patients were 52.38 ± 17.44 years, 63.36 ± 33.4 minutes, and 10.27 ± 5.7 days.
Transection time, and hospital stay in patients with cirrhotic liver (130.4 ± 44.4 mins, 14.6 ± 5.5 days) and cholestatic liver (75.8 ± 19.7 mins, 16.5 ± 5.1 days) were significantly greater than in patients with normal liver (48.1 ± 20.1 mins, 6.7 ± 1.8 days) (P<0.01).
Transection time improved significantly with experience (first fifty versus second fifty cases—70.2 ± 31.1 mins versus 56.5 ± 34.5 mins, P<0.04).
Qualitative evaluation revealed that Debakey forceps had ergonomic advantages over Kelly clamp.
Conclusions.
Debakey forceps crushing technique is safe and effective for liver parenchymal transection in all kinds of liver.
Transection time improves with surgeon’s experience.
It has ergonomic advantages over Kelly clamp and is a better choice for liver transection.
American Psychological Association (APA)
Jain, Sundeep& Sharma, Bharat& Kaushik, Mitesh& Jain, Lokendra. 2014. Debakey Forceps Crushing Technique for Hepatic Parenchymal Transection in Liver Surgery : A Review of 100 Cases and Ergonomic Advantages. HPB Surgery،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-504222
Modern Language Association (MLA)
Jain, Sundeep…[et al.]. Debakey Forceps Crushing Technique for Hepatic Parenchymal Transection in Liver Surgery : A Review of 100 Cases and Ergonomic Advantages. HPB Surgery No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-504222
American Medical Association (AMA)
Jain, Sundeep& Sharma, Bharat& Kaushik, Mitesh& Jain, Lokendra. Debakey Forceps Crushing Technique for Hepatic Parenchymal Transection in Liver Surgery : A Review of 100 Cases and Ergonomic Advantages. HPB Surgery. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-504222
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-504222