TY - JOUR
T1 - Harness Traction Technique (HARNESS)
T2 - Novel Method for Controlling the Transection Plane during Laparoscopic Hepatectomy
AU - Itano, Osamu
AU - Oshima, Go
AU - Kitago, Minoru
AU - Suzuki, Keiichi
AU - Hayatsu, Shigeo
AU - Shinoda, Masahiro
AU - Abe, Yuta
AU - Hibi, Taizo
AU - Yagi, Hiroshi
AU - Ikoma, Naruhiko
AU - Aiko, Satoshi
AU - Kitagawa, Yuko
N1 - Publisher Copyright:
© 2015 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2015/8/19
Y1 - 2015/8/19
N2 - We present our experience using a novel method for controlling the transection plane, which we termed as the Harness Traction Technique (HARNESS) and evaluate its usefulness. From May 2009 to March 2012, laparoscopic hepatectomies using HARNESS were performed on 35 patients. After the superficial hepatic parenchyma on the line was transected at 1 to 2 cm depth, 5 mm tape was placed along the groove of the line and tied to prevent it from slipping off. Tape was tied and pulled using a forceps toward the best direction for minimizing the bleeding, moving the transection point to the appropriate position and creating good tension for parenchymal transection at the transection point. There were no conversions to laparotomy or intraoperative complications. HARNESS is useful for controlling the dissection line during laparoscopic hepatectomy, leading to precise and safe laparoscopic liver parenchymal dissection.
AB - We present our experience using a novel method for controlling the transection plane, which we termed as the Harness Traction Technique (HARNESS) and evaluate its usefulness. From May 2009 to March 2012, laparoscopic hepatectomies using HARNESS were performed on 35 patients. After the superficial hepatic parenchyma on the line was transected at 1 to 2 cm depth, 5 mm tape was placed along the groove of the line and tied to prevent it from slipping off. Tape was tied and pulled using a forceps toward the best direction for minimizing the bleeding, moving the transection point to the appropriate position and creating good tension for parenchymal transection at the transection point. There were no conversions to laparotomy or intraoperative complications. HARNESS is useful for controlling the dissection line during laparoscopic hepatectomy, leading to precise and safe laparoscopic liver parenchymal dissection.
KW - hanging maneuver
KW - harness traction technique
KW - hemostasis
KW - laparoscopic anatomic liver resection
KW - laparoscopic hepatectomy
UR - http://www.scopus.com/inward/record.url?scp=84939489456&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84939489456&partnerID=8YFLogxK
U2 - 10.1097/SLE.0000000000000171
DO - 10.1097/SLE.0000000000000171
M3 - Article
C2 - 26121541
AN - SCOPUS:84939489456
SN - 1530-4515
VL - 25
SP - e117-e121
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
IS - 4
ER -