Hepatic lobectomy requires careful planning of inflow and outflow control. This note summarizes three cases where staged V-CLAMP application reduced conversion to open hemostasis.
Case Selection
Cases included solitary hepatic mass, limited lobar involvement, and stable hemodynamics at induction.
Technique Highlights
- Identify major pedicle before parenchymal transection
- Apply sequential closure from peripheral to central branches
- Confirm hemostasis before specimen removal
Outcomes
All three dogs were discharged within 48 hours without transfusion. Follow-up imaging at 30 days showed uneventful healing.
