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Invention of Two Instruments Fitted with SECUREA™ Useful for Laparoscopic Liver Resection

Youichi Kawano¹, Nobuhiko Taniai¹, Yoshiharu Nakamura¹, Satoshi Matsumoto¹, Masato Yoshioka¹, Akira Matsushita¹, Yoshiaki Mizuguchi¹, Tetsuya Shimizu¹, Hidekazu Takata¹, Hiroshi Yoshida² and Eiji Uchida¹

¹Department of Surgery, Nippon Medical School, Tokyo, Japan
²Department of Surgery, Nippon Medical School Tama Nagayama Hospital, Tokyo, Japan

Laparoscopic liver resection (LLR) became common in Japan when advanced techniques and instruments for the procedure became available and the national medical insurance began covering partial resection and lateral segmentectomy. A successful LLR requires a gentle and powerful hold on the specimens, a steady operating field, and fast and rapid compression of the bleeding point to achieve hemostasis. In this paper we describe two instruments developed in our department by attaching the SECUREA™ endoscopic surgical spacer to the forceps and suction tube used for LLR. The instruments are useful and practical for any type of LLR, even in the hands of less experienced surgeons.

J Nippon Med Sch 2016; 83: 107-112

Keywords
laparoscopic, liver resection, new instrument, SECUREA

Correspondence to
Youichi Kawano, MD, Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
y-kawano@nms.ac.jp

Received, March 26, 2015
Accepted, December 28, 2015