Evaluation and selection of various techniques of liver parenchymal transection / 中华消化外科杂志

Various techniques of liver parenchymal transection have been introduced,including the finger fracture technique,clamp-crush method,Cavitron ultrasonic surgical aspirator,waterjet,TissueLink,Ligasure,harmonic scalpel,vascular stapler,radiofrequency dissection sealer and the Peng's multifunction operative dissector.All these techniques have the common goals of achieving rapid liver parenchymal transection,minimizing blood loss and preventing bile leak or fistula.It is still unclear which technique is the best.The technique of choice for any individual surgeon would depend on the condition of patients,surgeon's experience and the resources available.This article reviewed the current development and role of the various techniques.