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Titolo:
Hepatectomy using an ultrasonically activated scalpel for hepatocellular carcinoma
Autore:
Ouchi, K; Mikuni, J; Sugawara, T; Ono, H; Fujiya, T; Kamiyama, Y; Kakugawa, Y; Yamanami, H; Nakagawa, K;
Indirizzi:
Miyagi Canc Ctr Hosp, Dept Surg, Natori, Miyagi 9811293, Japan Miyagi CancCtr Hosp Natori Miyagi Japan 9811293 i, Miyagi 9811293, Japan Sendai Red Cross Hosp, Dept Surg, Sendai, Miyagi, Japan Sendai Red Cross Hosp Sendai Miyagi Japan pt Surg, Sendai, Miyagi, Japan
Titolo Testata:
DIGESTIVE SURGERY
fascicolo: 2, volume: 17, anno: 2000,
pagine: 138 - 142
SICI:
0253-4886(2000)17:2<138:HUAUAS>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
LIVER RESECTION; MANAGEMENT; DISSECTION; SURVIVAL; TUMORS;
Keywords:
ultrasonically activated scalpel; ultrasonic cavitational aspirator; hepatectomy; hepatocellular carcinoma;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Ouchi, K Miyagi Canc Ctr Hosp, Dept Surg, 47-1 Nodayama, Natori, Miyagi 9811293, Japan Miyagi Canc Ctr Hosp 47-1 Nodayama Natori Miyagi Japan 9811293an
Citazione:
K. Ouchi et al., "Hepatectomy using an ultrasonically activated scalpel for hepatocellular carcinoma", DIGEST SURG, 17(2), 2000, pp. 138-142

Abstract

Background: The first retrospective studies were performed to compare the efficacy of the ultrasonic cavitational aspirator (aspirator group) and theultrasonically activated scalpel (scalpel group) for hepatic resection in patients with hepatocellular carcinoma. Patients and Methods: The aspiratorgroup consisted of 8 patients (6 with liver cirrhosis and 2 with chronic hepatitis in the nontumorous liver), and the scalpel group of 7 patients (6 with liver cirrhosis and 1 with chronic hepatitis). All patients underwent limited hepatic resection, and the intermittent Pringle maneuver was applied during hepatic transection. Results: There were no significant differences in preoperative hepatic function, type of hepatectomy, tumor size and maximum cross-sectional area of the resected specimen between the 2 groups. The amount of intraoperative blood loss was significantly less in the scalpelgroup than in the aspirator group (684 versus 1,859 mi, p < 0.05). The operation time was significanly shorter in the scalpel group than in the aspirator group (176 versus 262 min, p < 0.05). There were no significant differences in postoperative liver function and morbidity between the 2 groups. Conclusions: The ultrasonically activated scalpel is effective in reducing blood loss and in shortening the time of operation, and can be employed during limited resection of the liver with cirrhosis or chronic hepatitis. Copyright (C) 2900 S. Karger AG. Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 07:37:45