Erschienen in:
22.04.2019 | Letter to the Editor
Effective and Safe Living Donor Hepatectomy Under Intermittent Inflow Occlusion and Outflow Pressure Control
verfasst von:
Toru Ikegami, Tomoharu Yoshizumi, Yuji Soejima, Masaki Mori
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 7/2019
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Excerpt
We read the article provided by Sultan et al.
1 showing better performance in harmonic scalpel, with statistically significant shorter operative time (360 min vs. 440 min,
p < 0.01) statistically non-significant but smaller amount of blood loss (300 ml vs. 500 ml,
p = 0.11), and similar grade III complication rate (11.1% vs. 16.7%,
p = 0.49) compared with clamp-crush technique for living donor hepatectomy (LDH). Contradictory to the results, they concluded clamp-crush technique as a simple, easy, safe, and cheaper method for LDH. It is true that clamp-crush is cheaper as the authors concluded. However, simplicity, easiness, or proficiency in surgical processes should be associated with operative time and blood loss, and safety with complications. We are concerned about the inconsistency between the actual results and the conclusion with preference in clamp-crush technique. …
