Document Detail


Application of a new water jet apparatus in open hepatobiliary surgery: hepatic resection, cholecystectomy, common bile duct lavage.
MedLine Citation:
PMID:  9331849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The presently accepted technologies for hepatobiliary surgery have some limitations and disadvantages. Use of water jet dissection is rapidly spreading and its indications are continuously being widened. In 1988 we developed a new bimodular jet-cutter "Parenchimotom-01". After the experimental application on 110 dogs, the apparatus was introduced into clinical practice. Between 1992-1995 we have successfully performed 11 liver resections, 14 cholecystectomies, and 2 lavages of the common bile duct on 25 patients. Marked decrease in blood loss, operative time, rate of complications, and length of hospitalization were noted. We suggest the water jet dissection to be a sophisticated and maximally effective instrumental technology that offers numerous advantages over the other techniques so far commonly accepted in hepatobiliary surgery and which may improve the treatment and prognosis in patients with different hepatobiliary disease entities.
Authors:
R D Penchev; K T Kjossev; J E Losanoff
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  82     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    1997 Apr-Jun
Date Detail:
Created Date:  1997-12-09     Completed Date:  1997-12-09     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  182-6     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Military Medical Academy, Sofia, Bulgaria.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Animals
Bile Ducts / surgery*
Cholecystectomy / instrumentation*,  methods
Cholelithiasis / surgery*
Dogs
Evaluation Studies as Topic
Female
Gallbladder Neoplasms / surgery
Hepatectomy / instrumentation*,  methods
Humans
Irrigation
Liver Diseases / surgery*
Male
Middle Aged
Water
Chemical
Reg. No./Substance:
7732-18-5/Water

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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