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Practical Usefulness of Ultrasonic Surgical Aspirator with Argon Beam Coagulation for Hepatic Parenchymal Transection

World Journal of Surgery volume 29, pages 899–902 (2005)Cite this article

Abstract

The objective of this study was to evaluate the effectiveness and feasibility of using the Cavitron ultrasonic surgical aspirator (CUSA) with argon beam coagulation (ABC) during hepatic resection, in comparison with a conventional method using CUSA with bipolar cautery. Between April 2003 and March 2004, a series of 14 consecutive patients underwent hepatic resection of normal liver. Hepatectomies were performed using CUSA and bipolar irrigation electrocautery (BP) in eight patients between April 2003 and December 2003. CUSA and an ABC were used in six patients between January 2004 and March 2004. There were no differences in patient characteristics between the two groups. Blood loss per area of transected liver surface was significantly lower for CUSA with ABC than for CUSA with BP (2.9 ± l.44 vs. 6.33 ± 3.14 ml/cm2). Furthermore, the speed of resection, defined as resection time per area of transected liver surface, was significantly greater for CUSA with ABC than for CUSA with BP (0.53 ± 0.14 vs.2.18 ± 1.73 min/cm2). This new technique of combining CUSA with ABC can decrease blood loss during hepatic parenchymal transection and shorten the resection time.

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Affiliations

  1. Gastroenterological Center, Yokohama City University Medical Center, 4-57 Urafunecho, Minami-ku, Yokohama, 232-0024 Japan

    Yasuhiko Nagano M.D., Ph.D., Kenichi Matsuo M.D., Chikara Kunisaki M.D., Ph.D. & Hideyuki Ike M.D., Ph.D.

  2. Department of Gastroenterological Surgery, Yokohama City University, Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004 Japan

    Toshio Imada M.D., Ph.D., Kuniya Tanaka, Shinji Togo M.D., Ph.D. & Hiroshi Shimada M.D., Ph.D.

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  1. Yasuhiko Nagano M.D., Ph.D.
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  2. Kenichi Matsuo M.D.
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  3. Chikara Kunisaki M.D., Ph.D.
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  4. Hideyuki Ike M.D., Ph.D.
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  5. Toshio Imada M.D., Ph.D.
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  6. Kuniya Tanaka
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  7. Shinji Togo M.D., Ph.D.
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  8. Hiroshi Shimada M.D., Ph.D.
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Correspondence to Yasuhiko Nagano M.D., Ph.D..

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Nagano, Y., Matsuo, K., Kunisaki, C. et al. Practical Usefulness of Ultrasonic Surgical Aspirator with Argon Beam Coagulation for Hepatic Parenchymal Transection. World J. Surg. 29, 899–902 (2005). https://doi.org/10.1007/s00268-005-7784-2

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  • DOI: https://doi.org/10.1007/s00268-005-7784-2

Keywords

  • Hepatic Vein
  • Hepatic Resection
  • Prognostic Nutritional Index
  • Parenchymal Transection
  • Bipolar Cautery