Liver resection with ERBEJET® 2
Minimal blood loss through waterjet dissection
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The ERBEJET selectively differentiates between liver parenchyma, blood vessels and bile ducts. Soft parenchymal tissue is washed out, while the network of blood vessels is preserved and can be subsequently treated with little loss of blood. Effect 35 (detailed fig. 1) and a straight dissector with suction (detailed fig. 2) is recommended for liver surgery. |
Indications
- Hepatocellular carcinoma
- metastases; arising from colorectal cancer
- Split-Liver
Advantages of ERBE equipment
- Maximum preservation of blood vessels, nerves and organs
- High degree of tissue selectivity during preparation and dissection of tissue layers
- Good visibility at the operative site due to integrated irrigation and suction
- Minimized bleeding, controlled management of bleeding
- Shorter operating times
- Precise and intact margins along the line of dissection, no necrosis of the margins
- For open and laparoscopic surgery
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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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