Liver resection with ERBEJET® 2

Minimal blood loss through waterjet dissection

Liver resection with ERBEJET® 2
Liver resection with ERBEJET® 2 Liver resection with ERBEJET® 2
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
Incision of the liver capsule

Incision of the liver capsule

This step is performed using bipolar scissors, for example the ERBE BiSect.

Preparation and exposition of hepatic vascular structures

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

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.