Devices for minimally invasive liver parenchyma transection: the SICE (Italian Society of Endoscopic Surgery) Italian and International survey
The minimally invasive approach to liver parenchymal transection is a key component of this surgical procedure. For major hepatectomies, the CUSA device remains the most effective tool, whereas ultrasonic shears, electrosurgical pencil, and advanced bipolar devices are more suited for minor resections. Despite limited access to specialized instruments, R-MILS achieves favorable outcomes in liver transection by employing the crash-clamp technique or hybrid strategies.
Authors
- Pasquale Avella (ORCID: https://orcid.org/0000-0003-4910-5404)
- Gaetano Piccolo (ORCID: https://orcid.org/0000-0002-4942-7705)
- Edoardo Maria Muttillo (ORCID: https://orcid.org/0000-0003-3562-0392)
- Giovanni Domenico Tebala (ORCID: https://orcid.org/0000-0001-7152-4096)
- Aldo Rocca (ORCID: https://orcid.org/0000-0003-3807-3865)
- Graziano Ceccarelli (ORCID: https://orcid.org/0000-0002-7859-6815)
- Maria Conticchio (ORCID: https://orcid.org/0000-0003-3177-5274)
- Lucia Romano (ORCID: https://orcid.org/0000-0003-0996-4490)
- Riccardo Memeo
Institutions
- University of Molise (IT)
- University of L'Aquila (IT)
- Santa Maria Nuova Hospital (IT)
- Azienda Ospedaliero Universitaria San Giovanni Battista (IT)
- Ospedale San Paolo (IT)
- Federico II University Hospital (IT)
- Azienda Ospedaliera Sant'Andrea (IT)
- Villa Pineta Hospital (IT)
- Ospedale Generale Regionale Francesco Miulli (IT)
- University of Naples Federico II (IT)
Publication Details
- Journal
- Surgical Endoscopy
- Published
- 2025-06-16
- DOI
- https://doi.org/10.1007/s00464-025-11769-3
- Primary Topic
- Hepatocellular Carcinoma Treatment and Prognosis
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Università degli Studi di Milano
- Università degli Studi di Milano-Bicocca
- Instituto Mexicano del Seguro Social
- Università degli Studi di Sassari
- Università degli Studi del Piemonte Orientale
- Università degli Studi di Salerno
- Università degli Studi di Roma Tor Vergata
- Humanitas University
- Università degli Studi del Molise
- Dipartimento di Medicina e Chirurgia, Università degli Studi di Milano-Bicocca