Tissue selective hydrodissection

Versatile possibilities for parenchymal dissection

Laparoscopic liver resection

Selectivity spares tissue and exposes blood vessels and bile ducts selectively and athermal

Laparoscopic liver resection with ERBEJET 2 and BiClamp LAP

What experts say

The combination of irrigation and aspiration in one instrument can accelerate
the process of liver parenchyma dissection and provide a stable good
visualization of the surgical field.”

Prof. Dr. Mikhail Efanov
Prof. Dr. Mikhail Efanov

MD, PhD, Head of HBP surgery Department of Moscow Clinical Scientific Center, Russian Federation

Your advantages of hydrodissection at a glance

  • Reduces blood loss
  • Can be learned easily and quickly

     

  • Low rate of bile leakage is observed
  • Versatile possibilities for parenchymal dissection

With low effect setting you get high selectivity (e.g. liver hilum).

With higher effect you dissect faster, selectivity decreases.

You are even faster with the monopolar applicator: hydrodissection changing with monopolar coagulation.

Webcast

The use of waterjet in laparoscopic liver surgery. Webcast by Prof. M.Efanov, Moscow, Russia

Comparison of high-pressure waterjet and ultrasonic aspirator

Results of a single-center study*
N = 68 patients
  • 34 patients: high-pressure waterjet
  • 34 patients: ultrasonic aspirator

60%

lower costs per operation with hydrodissection*

  • No differences in patient-related and surgical characteristics
  • Intraoperative blood loss did not differ significantly
  • Significantly higher total bilirubin level on the second post-operative day in the ultrasonic aspirator group
  • No significant difference in transaction duration, pringle maneuver, complication rate, hospital stay

 

*Prof. Dr. Mikhail Efanov, 14th world congress of the International Hepato&Pancreato-Biliary Association (IHPBA) 2020, (poster presentation PG04-04): Single-center prospective randomized comparison of high-pressure waterjet and ultrasonic aspirator

Application videos

Liver resection on a newborn child with ERBEJET® 2
Laparoscopic liver resection with ERBEJET 2 and BiClamp LAP
Living donor right hepatectomy with ERBEJET® 2
Laparoscopic left hepatectomy for HCC with liver cirrhosis using hydrodissection and LAP BiSect Micro
Partial liver resection with APCapplicator and Applicator monopolar
Medical workstation equipped with devices for liver surgery / Medizinischer Arbeitsplatz mit Geräten für die Leberchirurgie

Workstation for liver surgery

FiAPC Pulmo VIO-3 Device for Electrosurgical Procedures / FiAPC Pulmo VIO-3-Gerät für elektrochirurgische Behandlungen

VIO® 3

Electrosurgery

FiAPC Pulmo APC-3 Argon Plasma Coagulation Device / FiAPC Pulmo APC-3-Gerät zur Argonplasma-Koagulation

APC 3

Plasmasurgery

preciseSECT ERBEJET 2 Device for Medical Treatments Using Waterjet Technology / preciseSECT ERBEJET 2-Gerät für medizinische Behandlungen mit Wasserstrahltechnik

ERBEJET® 2

Hydrosurgery

preciseSECT ESM 2 device for medical treatments using waterjet technology / preciseSECT ESM 2-Gerät für medizinische Behandlungen mit Wasserstrahltechnik

ESM 2

Suction module

Applicator with monopolar HF function
Close-up of a monopolar applicator for liver surgery / Nahaufnahme eines monopolaren Applikators für die Leberchirurgie
Dissection, coagulation and aspiration combined in one instrument. This shortens your operating time.
  • Straight, monopolar electrosurgical function
  • No. 20150-036