Abstract
Introduction: There are so many tools and energy devices, used in liver parenchymal transection and hemostasis. No consensus statement is achieved on what kind of tools or energy devices are more efficient or reliable. Patient Concerns: A 40-year-old man presenting with epigastric discomfort was detected with a 6-cm sized mass at segment II/III with enhancement in the arterial phase with washout in the portal site or a delayed phase. Diagnosis: The clinical diagnosis was hepatocellular carcinoma. Interventions: We herein used a promising new tool, the Aquamantys bipolar sealer, combined with harmonic scalpel in liver parenchymal transection and hemostasis, and take laparoscopic left lateral lobectomy, for example. Outcomes: When we used the Aquamantys bipolar sealer to coagulate and push parenchymal apart gently, the vessels were exposed spontaneously. Conclusion: The coagulative and hemostatic effect was quite better than the previous tools. It is simple and practicable, and will help us to shorten the learning curve of laparoscopic hepatectomy.
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