| Maryland Bipolar Forceps |
R |
Superficial coagulation; structural preparation |
Wristed; subtle dissection |
Inefficient for larger plane of transection |
| PK dissecting forceps |
R |
Subtle parenchymal dissection |
Wristed; subtle dissection |
Inefficient for larger plane of transection |
| Vessel sealer |
R |
Parenchymal transection, vessel transection |
Wristed; efficient and reliable parenchymal transection |
Bulky head; more expensive (disposable) |
| Harmonic ACE |
R, L |
Parenchymal dissection |
Efficient parenchymal transection |
Non-wristed; risk of inadvertent tissue damage by ‘hot leg’ |
| EndoClips |
R, L |
Ligation of vessels |
Reliable vessel sealing |
Inefficient; size may not match vessel |
| CUSA system |
O, L |
Parenchymal dissection |
Subtle and efficient parenchymal transection |
Non-robotic (bedside assistant) |
| Stapling device |
O, L |
Ligation of larger vessels; parenchymal transection |
Reliable sealing of large vessels |
Less easy to manipulate; expensive for parenchymal transection |
