<p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> <p>The mortality and morbidity in major hepatic resection is often related to hemorrhage. A high pressure,
high velocity water jet has been developed and has been utilized to assist in hepatic parenchymal transection. Sixty-seven major hepatic resections were performed for solid hepatic tumors. The tissue fracture technique was used in 51 patients (76%), and the water jet dissector was used predominantly in 16 patients (24%). The extent of hepatic resection using each technique was similar. The results showed no difference in operative duration (<italic>p</italic> = .499). The mean estimated blood loss using the water jet was 1386 ml, and tissue fracture technique 2450 ml (<italic>p</italic> = .217). Transfusion requirements were less in the water jet group (mean 2.0 units) compared to the tissue fracture group (mean 5.2 units); (<italic>p</italic> = .023). Results obtained with the new water dissector are encouraging. The preliminary results suggest that blood loss may be diminished.</p>
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HPB Surg. 1993; 6(3):189-198