{"id":"https://openalex.org/W1503444902","doi":"https://doi.org/10.1177/000313480306900918","title":"Increased Biliary Fistulas after Liver Resection with the Harmonic Scalpel","display_name":"Increased Biliary Fistulas after Liver Resection with the Harmonic Scalpel","publication_year":2003,"publication_date":"2003-09-01","ids":{"openalex":"https://openalex.org/W1503444902","doi":"https://doi.org/10.1177/000313480306900918","mag":"1503444902","pmid":"https://pubmed.ncbi.nlm.nih.gov/14509335"},"language":"en","primary_location":{"id":"doi:10.1177/000313480306900918","doi":"https://doi.org/10.1177/000313480306900918","is_oa":false,"landing_page_url":"https://doi.org/10.1177/000313480306900918","pdf_url":null,"source":{"id":"https://openalex.org/S113474406","display_name":"The American Surgeon","issn_l":"0003-1348","issn":["0003-1348","1555-9823"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Surgeon","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Joseph Kim","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph Kim","raw_affiliation_strings":["From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103879166","display_name":"Syed Arif Ahmad","orcid":"https://orcid.org/0009-0007-3489-411X","observed_orcids":["https://orcid.org/0009-0007-3489-411X"]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Syed A. Ahmad","raw_affiliation_strings":["From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089839809","display_name":"Andrew M. Lowy","orcid":"https://orcid.org/0000-0002-7106-0735","observed_orcids":["https://orcid.org/0000-0002-7106-0735"]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew M. Lowy","raw_affiliation_strings":["From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063239029","display_name":"Joseph F. Buell","orcid":"https://orcid.org/0000-0002-6809-2242","observed_orcids":["https://orcid.org/0000-0002-6809-2242"]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph F. Buell","raw_affiliation_strings":["From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016636699","display_name":"Linda J. Pennington","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Linda J. Pennington","raw_affiliation_strings":["From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049755676","display_name":"Debbie A. Soldano","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Debbie A. Soldano","raw_affiliation_strings":["From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112248002","display_name":"Laura E. James","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laura E. James","raw_affiliation_strings":["From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103121578","display_name":"Jeffrey B. Matthews","orcid":"https://orcid.org/0000-0002-9105-5546","observed_orcids":["https://orcid.org/0000-0002-9105-5546"]},"institutions":[{"id":"https://openalex.org/I63135867","display_name":"University of Cincinnati","ror":"https://ror.org/01e3m7079","country_code":"US","type":"education","lineage":["https://openalex.org/I63135867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeffrey B. Matthews","raw_affiliation_strings":["From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio;","institution_ids":["https://openalex.org/I63135867"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015560568","display_name":"Douglas W. Hanto","orcid":"https://orcid.org/0000-0003-4088-3568","observed_orcids":["https://orcid.org/0000-0003-4088-3568"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Douglas W. Hanto","raw_affiliation_strings":["Department of Surgery, Division of Transplantation, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Division of Transplantation, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":2.3926,"has_fulltext":false,"cited_by_count":69,"citation_normalized_percentile":{"value":0.88428914,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"69","issue":"9","first_page":"815","last_page":"819"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10073","display_name":"Hepatocellular Carcinoma Treatment and Prognosis","score":0.7583000063896179,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10073","display_name":"Hepatocellular Carcinoma Treatment and Prognosis","score":0.7583000063896179,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10999","display_name":"Organ Transplantation Techniques and Outcomes","score":0.14380000531673431,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10966","display_name":"Liver physiology and pathology","score":0.016699999570846558,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/harmonic-scalpel","display_name":"harmonic scalpel","score":0.8709999918937683},{"id":"https://openalex.org/keywords/biliary-fistula","display_name":"biliary fistula","score":0.8180000185966492},{"id":"https://openalex.org/keywords/postoperative-bile-leakage","display_name":"postoperative bile leakage","score":0.7480000257492065},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.703000009059906},{"id":"https://openalex.org/keywords/intraoperative-blood-loss","display_name":"intraoperative blood loss","score":0.8820000290870667},{"id":"https://openalex.org/keywords/blood-transfusion","display_name":"blood transfusion","score":0.6110000014305115}],"concepts":[{"id":"https://openalex.org/C2775941104","wikidata":"https://www.wikidata.org/wiki/Q5659282","display_name":"Harmonic scalpel","level":3,"score":0.9155248403549194},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7865109443664551},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.730398416519165},{"id":"https://openalex.org/C2776161997","wikidata":"https://www.wikidata.org/wiki/Q846600","display_name":"Clamp","level":3,"score":0.7150893211364746},{"id":"https://openalex.org/C2779340996","wikidata":"https://www.wikidata.org/wiki/Q4907743","display_name":"Biliary fistula","level":3,"score":0.5971188545227051},{"id":"https://openalex.org/C2991743468","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Blood loss","level":2,"score":0.5904674530029297},{"id":"https://openalex.org/C2780014101","wikidata":"https://www.wikidata.org/wiki/Q183605","display_name":"Blood transfusion","level":2,"score":0.5753084421157837},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5591327548027039},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.517734706401825},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.17779245972633362},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C84111939","wikidata":"https://www.wikidata.org/wiki/Q5125465","display_name":"Clamping","level":2,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001658","descriptor_name":"Biliary Fistula","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006498","descriptor_name":"Hepatectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D006528","descriptor_name":"Carcinoma, Hepatocellular","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007431","descriptor_name":"Intraoperative Complications","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D008026","descriptor_name":"Ligation","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":false},{"descriptor_ui":"D008113","descriptor_name":"Liver Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D013525","descriptor_name":"Surgical Instruments","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D014465","descriptor_name":"Ultrasonics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/000313480306900918","doi":"https://doi.org/10.1177/000313480306900918","is_oa":false,"landing_page_url":"https://doi.org/10.1177/000313480306900918","pdf_url":null,"source":{"id":"https://openalex.org/S113474406","display_name":"The American Surgeon","issn_l":"0003-1348","issn":["0003-1348","1555-9823"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Surgeon","raw_type":"journal-article"},{"id":"pmid:14509335","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/14509335","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American surgeon","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W191976025","https://openalex.org/W1971755234","https://openalex.org/W1979280697","https://openalex.org/W1980721510","https://openalex.org/W1982461820","https://openalex.org/W1989242814","https://openalex.org/W1998937762","https://openalex.org/W2004731417","https://openalex.org/W2008522274","https://openalex.org/W2010894813","https://openalex.org/W2011734470","https://openalex.org/W2035763660","https://openalex.org/W2037832501","https://openalex.org/W2056700586","https://openalex.org/W2063615556","https://openalex.org/W2079444385","https://openalex.org/W2094466065","https://openalex.org/W2103252969","https://openalex.org/W2111855329","https://openalex.org/W2166084136","https://openalex.org/W2168479284"],"related_works":["https://openalex.org/W2094036539","https://openalex.org/W2003497793","https://openalex.org/W2007537567","https://openalex.org/W2328151436","https://openalex.org/W2918380044","https://openalex.org/W2085001875","https://openalex.org/W2087259686","https://openalex.org/W2029204135","https://openalex.org/W2339505487","https://openalex.org/W2010894813"],"abstract_inverted_index":{"The":[0],"Harmonic":[1,168],"Scalpel":[2,169],"(HS)":[3],"is":[4],"frequently":[5],"used":[6],"for":[7],"hepatic":[8,47],"resection.":[9],"Yet,":[10],"no":[11],"current":[12],"study":[13],"addresses":[14],"its":[15],"utility":[16],"compared":[17,36],"to":[18,28,37,57],"conventional":[19],"methods.":[20],"We":[21],"reviewed":[22],"our":[23,52],"experience":[24],"with":[25,90,146,172,191],"this":[26,214],"device":[27],"determine":[29],"if":[30],"it":[31],"decreased":[32,111,173,180],"perioperative":[33],"complications":[34],"when":[35,212],"the":[38,68,86,142,167,196],"traditional":[39],"clamp":[40,78],"crushing":[41,79],"technique.":[42],"One":[43],"hundred":[44],"forty-nine":[45],"anatomic":[46],"resections":[48],"were":[49,61],"performed":[50],"at":[51],"institution":[53],"from":[54],"September":[55],"1992":[56],"February":[58],"2002.":[59],"Patients":[60],"divided":[62],"into":[63],"two":[64],"groups":[65],"based":[66],"on":[67],"technique":[69],"of":[70,85,141,166,198],"resection:":[71],"HS":[72,87,143],"[53%":[73],"(n":[74,81,154,159],"=":[75,82,105,123,137,155,160,163],"79)]":[76],"versus":[77],"[47%":[80],"70)].":[83],"Use":[84,165],"was":[88,144,170,188],"associated":[89,145,171,190],"a":[91,108,147,177,192],"shorter":[92],"mean":[93],"operative":[94,174],"time":[95,175],"(357":[96],"+/-":[97,101,115,119,129,133],"15.0":[98],"vs.":[99,117,131,157],"404":[100],"19.1":[102],"min;":[103],"p":[104],"0.05)":[106],"and":[107,125,176,183],"trend":[109,178],"toward":[110,179],"blood":[112,181],"loss":[113,182],"(1211":[114],"125.5":[116],"1411":[118],"180.7":[120],"mL;":[121],"P":[122,136,162],"NS)":[124],"transfusion":[126,184],"requirements":[127],"(2.6":[128],"0.5":[130],"1.7":[132],"0.3":[134],"units;":[135],"0.10).":[138],"However,":[139],"use":[140,187],"significant":[148,193],"increase":[149,194],"in":[150,195],"biliary":[151],"fistulas":[152],"[24%":[153],"19)":[156],"7%":[158],"5);":[161],"0.01].":[164],"requirements.":[185],"Its":[186],"also":[189],"incidence":[197],"postoperative":[199],"bile":[200],"leaks,":[201],"and,":[202],"therefore,":[203],"surgeons":[204],"must":[205],"be":[206],"vigilant":[207],"during":[208],"liver":[209],"parenchymal":[210],"transection":[211],"using":[213],"device.":[215]},"counts_by_year":[{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":7},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":6}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}