{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:18:40Z","timestamp":1786979920472,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2004,2,1]],"date-time":"2004-02-01T00:00:00Z","timestamp":1075593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2004,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Blood loss during liver transection and ischemia\u2010reperfusion injury associated with hepatic inflow occlusion are significant drawbacks during liver surgery. Sixteen patients underwent liver resection using the Monopolar Floating Ball (FB) plus LigaSure (LS) diathermy without occlusion of the hepatoduodenal ligament (group FB\u2010LS). The liver parenchyma was precoagulated using the FB, and the uncovered tiny vessels were sealed using LS. Surgical outcomes were retrospectively compared with 16 well matched patients who underwent liver resection using the conventional clamp crushing method with Pringle\u2019s maneuver (group CC). The amount of blood loss during liver transection was significantly less in group FB\u2010LS than in group CC [200\u00a0ml (0\u2013990\u00a0ml) vs. 480\u00a0ml (120\u20131800\u00a0ml);p = 0.006]. The median time it took to complete the liver transection was significantly longer in group FB\u2010LS than in group CC [144\u00a0minutes (43\u2013335\u00a0minutes) vs. 58\u00a0minutes (18\u201394\u00a0minutes);\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.0001]. Hepatic inflow occlusion was temporally used in five patients in group FB\u2010LS to achieve hemostasis in hepatic venous tributaries for 6,10, 19, 26, and 61\u00a0minutes, respectively. Using these two electronic devices allows liver resection to be safely performed, with the advantage of minimal blood loss and a reduced inflow occlusion period compared to the conventional method. The major disadvantage may be a slower transection speed. A prospective randomized trial is needed to clarify the clinical benefits of liver resections performed using this novel technique.\n                  <\/jats:p>","DOI":"10.1007\/s00268-003-7167-5","type":"journal-article","created":{"date-parts":[[2004,3,3]],"date-time":"2004-03-03T17:35:10Z","timestamp":1078335310000},"page":"166-172","source":"Crossref","is-referenced-by-count":75,"title":["Bloodless liver resection using the Monopolar Floating Ball plus Ligasure diathermy: Preliminary results of 16 liver resections"],"prefix":"10.1002","volume":"28","author":[{"given":"Yoshihiro","family":"Sakamoto","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery Cancer Institute Hospital 1\u201037\u20101\u00a0Kami\u2010Ikebukuro, Toshima\u2010ku 170\u20108455 Tokyo Japan"},{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Surgery National Cancer Center Hospital 5\u20101\u20101 Tsukiji, Chu\u2010o\u2010ku 104\u20100045 Tokyo Japan Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junji","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Cancer Institute Hospital 1\u201037\u20101\u00a0Kami\u2010Ikebukuro, Toshima\u2010ku 170\u20108455 Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norihiro","family":"Kokudo","sequence":"additional","affiliation":[{"name":"Department of Surgery Hepato\u2010Biliary\u2010Pancreatic Surgery Division Graduate School of Medicine University of Tokyo 7\u20103\u20101 Hongo, Bunkyo\u2010ku 113\u20108655 Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Seki","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Cancer Institute Hospital 1\u201037\u20101\u00a0Kami\u2010Ikebukuro, Toshima\u2010ku 170\u20108455 Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoo","family":"Kosuge","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Surgery National Cancer Center Hospital 5\u20101\u20101 Tsukiji, Chu\u2010o\u2010ku 104\u20100045 Tokyo Japan Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiharu","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Cancer Institute Hospital 1\u201037\u20101\u00a0Kami\u2010Ikebukuro, Toshima\u2010ku 170\u20108455 Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuichiro","family":"Muto","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Cancer Institute Hospital 1\u201037\u20101\u00a0Kami\u2010Ikebukuro, Toshima\u2010ku 170\u20108455 Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masatoshi","family":"Makuuchi","sequence":"additional","affiliation":[{"name":"Department of Surgery Hepato\u2010Biliary\u2010Pancreatic Surgery Division Graduate School of Medicine University of Tokyo 7\u20103\u20101 Hongo, Bunkyo\u2010ku 113\u20108655 Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,2]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"303","article-title":"Perioperative blood transfusion promotes recurrence of hepatocellular carcinoma after hepatectomy","volume":"115","author":"Yamamoto J","year":"1994","journal-title":"Surgery"},{"key":"e_1_2_1_3_1","first-page":"346","article-title":"Ultrasonically guided subsegmentectomy","volume":"161","author":"Makuuchi M","year":"1985","journal-title":"Surg. 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