The role of the staplers in open liver surgery was limited to division and stapling of large vessels previously dissected by other devices [26, 27]. The advantages are rapidity and relative safety of action. The application of the laparoscopic technique to liver surgery has familiarized surgeons with the use of the stapling device for transection of the liver parenchyma. The technique of stapling across the liver parenchyma allows an extremely fast and moderately bloodless parenchymal transection. The complete hemostasis on the cut surface of the liver can be obtained with a monopolar co-agulator or/and a floating ball. Nevertheless, no data are available to determine whether this technique is safe also in preventing bile leaks in both the donor and the recipient.

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