APPLICATION OF A NEW WATER-JET APPARATUS IN OPEN HEPATOBILIARY SURGERY - HEPATIC RESECTION, CHOLECYSTECTOMY, COMMON BILE-DUCT LAVAGE

The presently accepted technologies for hepatobiliary surgery have som e limitations and disadvantages, Use of water jet dissection is rapidl y Spreading and its indications are continuously being widened, In 198 8 we developed a new bimodular jet-cutter ''Parenchimotom-01''. After the experimental application on 110 dogs, the apparatus was introduced into clinical practice, Between 1992-1995 we have successfully perfor med 11 liver resections, 14 cholecystectomies, and 2 lavages of the co mmon bile duct on 25 patients, Marked decrease in blood loss, operativ e time, rate? of complications, and length of hospitalization were not ed, We suggest the mater jet dissection to be a sophisticated and maxi mally effective instrumental technology that offers numerous advantage s over the other techniques so far commonly accepted in hepatobiliary surgery and which may improve the treatment and prognosis in patients with different hepatobiliary disease entities.