Surgery, Gastroenterology and Oncology
Vol. 25, Nr. 3, June 2020
Liver Transection with Clamp Crushing, Followed by Vessel Sealing, is Superior to Crushing by LigaSure in Terms of Early Local Recurrence after Hepatectomy: A Retrospective Cohort Study
Kyoji Ito, Nobuyuki Takemura, Fuyuki Inagaki, Fuminori Mihara, Toshiaki Kurokawa, Yoshihiro Edamoto, and Norihiro Kokudo
Article DOI: 10.21614/sgo-25-3-125
Background: Liver transection consists of two elements, crushing of the liver parenchyma and sealing of the remaining tissue. We aimed to investigate the influence of the technique used for crushing liver parenchyma on clinical outcomes in patients with hepatocellular carcinoma (HCC).

Methods: We investigated data from 65 consecutive patients who underwent open hepatectomy for HCC between January 2012 and December 2018. Patients were divided into two groups based on the technique used for crushing liver parenchyma, defined as the direct LigaSure crushing group (DLC group) and clamp-crushing group (CC group).

Results: The direct LigaSure crushing method was associated with a higher rate of early local recurrence than the clamp-crushing method (DLC group vs. CC group, 31.6% vs. 11.1%, p = 0.46). A multivariable analysis revealed that estimated blood loss, liver transection method, number of tumors, and curative resection were independent risk factors associated with early local recurrence.

Conclusions: The clamp crushing method may reduce early local recurrence compared with the direct LigaSure crushing method after hepatectomy in HCC patients.

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Surgery, Gastroenterology and Oncology is indexed in Scopus, CrossRef (DOI: 10.21614/sgo)

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