Kelly Clamp and Bipolar Forceps

A small clamp (Kelly) is used to crush parenchyma between its blades in order to isolate vessels and bile ducts (A-1, A-2). Fine branches of Glisson's tree or tiny tributaries of hepatic veins (<3mm) are coagulated using a bipolar forceps and are cut by scissors (A-3). Bipolar forceps cautery is equipped with a channel for water dripping, which prevents adhesion of debris to the cautery blades. Bigger identified vessels or bile ducts (>3mm) are ligated or clipped on the remnant liver slice before cutting. The alternative is to use clips only to secure vessels and bile ducts.

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How to Stay Young

How to Stay Young

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