Bloodless liver resection for hepatocellular carcinoma in cirrhotic patients using Habib sealer needle

Abstract

Abstract Introduction Hepatocellular carcinoma (HCC) is the most common primary liver cancer. The most successful treatment for liver tumors is still hepatic resection; however hepatic resection hemorrhage remains a key factor determining outcome. Recent attempts have been made to perform bloodless hepatic resections. Material & methods Our work included 96 participants with liver cirrhosis and HCC who were admitted to the department of hepato-pancreato-biliary surgery and the University Hospital. The mass with safety margin was determined by intraoperative ultrasound, and the resection line was marked preceding the application of Habib TM 4X. Results The mean time of operation was 113.4 min (ranging from 60 to 170), while the mean time of parenchymal transection was 40 (range 25–70 min). The mean amount of blood lost was 300 cc (range 50 to 1200 cc), while the average blood loss amount during parenchymal resection was found to be 150 cc (range 5 to 1100 cc). The mean amount of blood transfusion was 0.31 units of blood (range: 0–2), while prior to and following the procedure, the average hemoglobin levels were 13.1 and 12.23 mg/dl, respectively. Conclusion This technique provides clear benefits by reducing anesthesia duration, operative time, and intraoperative blood loss, which are beneficial to both patients and surgical teams. As a result of the lessened physiological stress on the patient, liver resection becomes a safer treatment, requiring fewer critical care resources and resulting in lower postoperative morbidity and mortality.