Liver Exposure Using Sterile Glove Pouch During Laparoscopic Right Liver Surgery in Hepatocellular Carcinoma Patients

Background Although laparoscopy is widely accepted for liver resection, lesions in the posterior and superior segments and deep region in the right lobe are difficult for visualization during laparoscopic liver resection (LLR). In this study, we aim examine the effects of using sterile gloves (SG) p...

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Bibliographic Details
Published in:World journal of surgery 2016-04, Vol.40 (4), p.946-950
Main Authors: Bin, Jin, Binghai, Zhou, Sanyuan, Hu
Format: Article
Language:English
Subjects:
Abdominal Surgery
Alanine Transaminase
Carcinoma, Hepatocellular - surgery
Cardiac Surgery
Decrease Blood Loss
Female
General Surgery
Gloves, Surgical
Hepatectomy - instrumentation
Humans
Innovative Surgical Techniques Around the World
Laparoscopic Liver Resection
Laparoscopy - methods
Liver Neoplasms - surgery
Liver Resection
Male
Medicine
Medicine & Public Health
Middle Aged
Portal Triad
Solitary Lesion
Surgery
Thoracic Surgery
Vascular Surgery
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Summary:Background Although laparoscopy is widely accepted for liver resection, lesions in the posterior and superior segments and deep region in the right lobe are difficult for visualization during laparoscopic liver resection (LLR). In this study, we aim examine the effects of using sterile gloves (SG) pouch padding during LLR. Methods Forty-two hepatocellular carcinoma (HCC) patients were included in our study. We performed LLR using SG ( n  = 24, SG group) and without SG during LLR ( n  = 18, NSG). We also compared the time of various procedures, blood loss, and liver function between the two groups. Results We did not observe any major complications or death in all patients. The time of liver parenchyma transection and portal triad clamping in SG group is significantly shorter than those in NSG group (30.29 ± 5.55 vs. 39.00 ± 3.68 min p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-015-3343-7