肝葉切除術における器械縫合器使用の実際 : 長期成績に基づいて

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  • Usefulness of Automatic Suture Device in Hepatic Surgery
  • カン ヨウ セツジョジュツ ニ オケル キカイ ホウゴウキ シヨウ ノ ジッサイ チョウキ セイセキ ニ モトズイテ

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Development of the automatic suture instruments for vessels is remarkable. In our department, in 102 patients who underwent to major hepatic surgery such as right lobectomy between 1996 to 2008, automatic suture instruments have been used for the ligation or closure of Glisson’s pedicle and hepatic vein. 　　Thereby, clear shortening of surgical time was achieved compared with the the conventional individual processing (e.g. continuous suture). Moreover, except for an early stage of the use, complication by the method has not been existed. It is thought that the automatic suture instruments contributes to simple nature and certainty in hepatic surgery.

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