The final hemostasis problem during liver resection
The problem of the final hemostasis of the liver parenchyma still actual, in spite of the big progress in the resective hepatology. The analysis of the literature shows, that liver resection with subsequent hemostatic sutures is limited because of the high risk of the postoperative complications. A large necrotic areas of the liver parenchyma and the inability of the hemostasis from the blood vessels, larger than 2 mm in diameter, limit coagulation hemostasis methods using. The methods of the liver parenchyma separation are laborious and protracted in time. That's why surgeons-hepatologist prefer a combination of the methods, for example a combination of the ultrasonic dissection of the liver parenchyma with argon coagulation or with the Pringle maneuver. The tissue electric welding proved itself, as a highly promising method, which needs further experimental and clinical studies.