Hepatectomy with Takasaki's Technique Using SonaStar Ultrasonic Aspiration System: An Experience from 58 Cases

Van Linh Ho,1 Nhu Hien Pham,2 Thanh Xuan Nguyen,2 An Phong Tran,1 Nhu Thanh Dang,3 Nhu Hiep Pham1 1Digestive Surgery Department, Hue Central Hospital, Hue City, Vietnam; 2Department of Abdominal Emergency and Pediatric Surgery, Hue Central Hospital, Hue City, Vietnam; 3Surgery Department, Hue University of Medicine and Pharmacy, Hue City, VietnamCorrespondence: Thanh Xuan NguyenDepartment of Abdominal Emergency and Pediatric Surgery, Hue Central Hospital, 16 Le Loi Street, Hue City, VietnamTel +84945313999Email thanhxuanbvh@hotmail.comObjective: This study aims to explore the short-term results of hepatectomy with Takasaki’s technique using Sonastar ultrasonic aspiration system.Materials and Methods: We retrospectively examined data of 58 patients who underwent hepatectomy with Takasaki’s technique using Sonastar ultrasonic aspiration system at Hue Central Hospital from 01/2018 to 02/2021.Results: The mean age was 60.7 ± 10.5 years (25– 80) and the male/female ratio was 6:1. Patients with solitary tumor accounted for 79%; 68.4% had tumor size greater than 5 cm. Pringle maneuver was used in 57.9%, while selective right or left Glissonean pedicle occlusion was used in 69.0% and 32.8%, respectively. Final transection surface reinforcement was achieved by Surgicel and BioGlue in 78.9% and 21.5% of cases, respectively. Major liver resection accounted for 73.7%. The mean parenchymal transection time was 50 (45– 110) minutes, while mean total operative time was 125 (90– 280) minutes. Mean operative blood loss was 250 (150– 650) mL. Mean post-operative hospital stay was 8 days (7– 23). Post-operative complication rate was 15.9% and mortality rate was 1.7%.Conclusion: Hepatectomy using Takasaki technique with Sonastar ultrasonic aspiration system is safe, effective, allowing an anatomical resection with sufficient safety margin and resulting in low complication rates (liver failure, biliary leakage) and good survival outcomes.Keywords: liver tumor, SonaStar, Takasaki’s technique