BACKGROUND: Recently, a lot of energy devices in the surgical field, especially in the liver surgery, have been developed, and a fine tip LigaSure   , Dolphin Tip Sealer/Divider (DT-SD) also has been used frequently to dissect liver parenchyma as well as ultrasonically activated device (USAD). However, the utility of this instrument for liver dissection (LD) is still unknown. Moreover, to reduce @entity548 during LD, a half-grip technique (HGT) was contrived. We herein report an experimental study in @entity1707 model to evaluate the feasibility and effectiveness of HGT using DT-SD for LD. METHODS: The @entity1707 model experiment was carried out under general anesthesia by veterinarians. LD was performed repeatedly by DT-SD with the HGT (Group A, n = 6), or the conventional clamp-crush technique (CCT) (Group B, n = 6), and by variable mode USAD (Group C, n = 6). The dissection length and depth (cm) as well as @entity548 volume (g) were measured carefully, and the dissection area (cm(2)) and speed (cm(2)/min) were calculated precisely. Histological examinations of the dissection surfaces were also executed. Mann-Whitney's U test was used for Statistical analyses with variance at a significance level of 0.05. RESULTS: Among the three groups, the three averages of dissection lengths were unexpectedly equalized to 8.3 cm. The dissection area (cm(2)) was 9.9    5.1 in Group A, 9.8    4.7 in Group B, and 9.9    4.5 in Group C. The mean @entity190 during LD was 10.6    14.8 g in Group A, 41.4    39.2 g in Group B, and 34.3    39.2 g in Group C. For Group A, the @entity548 rate was the least, 0.9    1.0 g/cm(2), and the average depth of coagulation was the thickest, 1.47    0.29 mm, among the three groups (p < 0.05). The dissection speed in Group A (1.3    0.3 cm(2)/min) was slower, than that in Group C (p < 0.05). CONCLUSIONS: This report indicates firstly that the HGT using DT-SD bring the least @entity190 when compared with CCT or USAD. Although the HGT is feasible and useful for LD, to popularize the HGT, further clinical studies will be needed.

Efficacy of a half-grip technique using a fine tip LigaSure   , Dolphin Tip Sealer/Divider, on liver dissection in XXXX model.

@entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity1707 :: ('9823', 'Species') :: ['swine'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding']
@entity1707 :: (9823,Species) :: ['swine']
