Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcome

Authors

  • Ham Hoi Nguyen
  • Thanh Khiem Nguyen*
  • Van Duy Le
  • Van Minh Do
  • Tuan Hiep Luong
  • Hoan My Pham
  • Kim Khue Dang
  • Cong Long Nguyen
  • Ngoc Hung Nguyen

Abstract

Purpose: The study aimed to evaluate the results of a bipolar vessel-sealing (LigaSure™) scalpel application for parenchymal resection combined with Glissonean pedicle transection using the Takasaki method in the treatment of hepatocellular carcinoma (HCC). Patients and methods: A prospective descriptive study was performed on 67 patients from August 2021 to April 2022 (6 months). Results: The mean age was 56±12 years (14-76). Durations for right and left Glisson pedicle control were 3.44±1.65 and 4.58±4.05 minutes, respectively, while those for anterior and posterior pedicle control were 6.12±4.05 and 6.08±3.79 minutes, respectively. The mean blood loss during pedicle control was 21.88±14.02 ml; there were no complications during pedicle transection. The average time of parenchymal resection was 33.96±12.32 minutes, the average intraoperative blood loss was 211.79±125.41 ml, and there was one patient requiring intraoperative blood transfusion. All 3 cases of intraoperative complications were hepatic vein laceration. The overall rate of postoperative complications was 2.98%, of which postoperative liver failure accounted for 1.49%. The average number of days in hospital postoperatively was 8 days, the shortest was 6 days and the longest was 15 days. The rate of in-hospital mortality was 0%. Conclusion: The bipolar vessel-sealing (LigaSure™) scalpel application for parenchymal resection combined with Glissonean pedicle transection using the Takasaki method in the treatment of HCC is safe and effective.

Keywords:

bipolar vessel-sealing scalpel, hepatocellular carcinoma, Takasaki method

DOI:

https://doi.org/10.31276/VJSTE.2023.0109

Classification number

3.2

Author Biographies

Ham Hoi Nguyen

Department of Gastrointestinal and Hepato-Pancreato-Biliary Surgery, Bach Mai Hospital, 78 Giai Phong Street, Phuong Mai Ward, Dong Da District, Hanoi, Vietnam

Thanh Khiem Nguyen

Department of Gastrointestinal and Hepato-Pancreato-Biliary Surgery, Bach Mai Hospital, 78 Giai Phong Street, Phuong Mai Ward, Dong Da District, Hanoi, Vietnam

Van Duy Le

Department of Gastrointestinal and Hepato-Pancreato-Biliary Surgery, Bach Mai Hospital, 78 Giai Phong Street, Phuong Mai Ward, Dong Da District, Hanoi, Vietnam

Van Minh Do

Department of Gastrointestinal and Hepato-Pancreato-Biliary Surgery, Bach Mai Hospital, 78 Giai Phong Street, Phuong Mai Ward, Dong Da District, Hanoi, Vietnam

Tuan Hiep Luong

Department of Gastrointestinal and Hepato-Pancreato-Biliary Surgery, Bach Mai Hospital, 78 Giai Phong Street, Phuong Mai Ward, Dong Da District, Hanoi, Vietnam

Hoan My Pham

VinUniversity, Vinhomes Ocean Park, Da Ton Commune, Gia Lam District, Hanoi, Vietnam

Kim Khue Dang

VinUniversity, Vinhomes Ocean Park, Da Ton Commune, Gia Lam District, Hanoi, Vietnam

Cong Long Nguyen

Department of Gastroenterology and Hepatology, Bach Mai Hospital, 78 Giai Phong Street, Phuong Mai Ward, Dong Da District, Hanoi, Vietnam

University of Medicine and Pharmacy, Vietnam National University - Hanoi, 144 Xuan Thuy Street, Dich Vong Hau Ward, Cau Giay District, Hanoi, Vietnam

Ngoc Hung Nguyen

Department of Gastrointestinal and Hepato-Pancreato-Biliary Surgery, Bach Mai Hospital, 78 Giai Phong Street, Phuong Mai Ward, Dong Da District, Hanoi, Vietnam

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Published

2024-12-15

Received 22 November 2023; revised 5 February 2024; accepted 11 April 2024

How to Cite

Ham Hoi Nguyen, Thanh Khiem Nguyen, Van Duy Le, Van Minh Do, Tuan Hiep Luong, Hoan My Pham, Kim Khue Dang, Cong Long Nguyen, & Ngoc Hung Nguyen. (2024). Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcome. Vietnam Journal of Science, Technology and Engineering, 66(4), 84-90. https://doi.org/10.31276/VJSTE.2023.0109

Issue

Section

Life Sciences

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