
We began to explore the technique of laparoscopic hepatectomy by curettage and aspiration (LHCA) in August 1998. For the purpose of safe dissection of the liver parenchyma, the laparoscopic Peng’s multifunctional operative dissector (LPMOD) (Cai et al. 2006) was designed. Blunt dissection is the major point of this technique. Liver parenchyma can be crashed and be aspirated immediately with LPMOD, and intrahepatic ducts and small vessels can be preserved and be safely dissected for ligation. Massive bleeding could be avoided by the meticulous dissection with this instrument.
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