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Hemostasis after Liver Resection Improves after Single Application of Albumin and Argon Beam Coagulation

  • 2010 SSAT Poster Presentation
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

Bleeding from the liver surface is common after hepatic resection. Animal studies have demonstrated superiority of argon beam coagulation (ABC) and 38% human serum albumin when applied together after partial liver resection when compared to ABC alone. There are no data addressing the combination of albumin and argon beam coagulation (ABCA) applied to the bleeding liver after resection in humans. The aim of this study was to evaluate the safety and efficacy of ABCA on hemostasis when applied to the surface of the liver remnant post-hepatic resection.

Methods

Ten patients underwent liver resection and were treated with ABCA immediately after the liver was divided. The liver surface was coated with albumin and ABC applied simultaneously, the liver was covered with gauze for 3 min, and ABCA was repeated if necessary. Number of rebleeding episodes requiring re-application of ABCA, time of ABCA application, overall blood loss, and liver functions were monitored. Patients were followed for at least 6 months.

Results

Nine of 10 patients required a single application of ABCA, and one patient required two treatments. Average time of ABC use was 5 ± 3 min. Median blood loss was 230 ml. Liver functions returned to near normal within 4 days of resection.

Conclusions

ABCA performed well with respect to hemostatic properties, much like previous observations in animal studies. Further clinical trials are justified using this technique.

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Acknowledgements

This work was supported by the Department of the Army, Grant No. DAMD17-96-1-6006 and does not necessarily reflect the position or the policy of the government. No governmental endorsement should be inferred. The authors of this paper do not have a proprietary interest in this process or material.

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Authors and Affiliations

  1. Oregon Medical Laser Center, Providence St. Vincent Medical Center, 9205 SW Barnes Road, Portland, Oregon, 97225

    Genevieve R. Mueller, Kenton W. Gregory & Scott A. Prahl

  2. The Oregon Clinic, 9155 SW Barnes Rd, Portland, Oregon, 97225

    Ronald F. Wolf & Paul D. Hansen

Authors
  1. Genevieve R. Mueller
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  2. Ronald F. Wolf
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  3. Paul D. Hansen
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  4. Kenton W. Gregory
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  5. Scott A. Prahl
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Correspondence to Genevieve R. Mueller.

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Mueller, G.R., Wolf, R.F., Hansen, P.D. et al. Hemostasis after Liver Resection Improves after Single Application of Albumin and Argon Beam Coagulation. J Gastrointest Surg 14, 1764–1769 (2010). https://doi.org/10.1007/s11605-010-1262-3

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  • DOI: https://doi.org/10.1007/s11605-010-1262-3

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