Document Detail


In-line radiofrequency ablation to minimize blood loss in hepatic parenchymal transection.
MedLine Citation:
PMID:  15972170     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Intraoperative blood loss has been shown to be an important factor correlating with morbidity and mortality in liver surgery. A 5-cm long instrument with variably deployable metal electrodes using in-line radiofrequency ablation (ILRFA) energy was used for hepatic transection in an attempt to reduce bleeding. METHODS: Eight patients underwent liver resection. At each resection, half the resection was performed with ILRFA and the other half was performed with an ultrasonic aspirator alone. Blood loss was measured for each mode of resection. RESULTS: The mean blood loss using ILRFA was 6.5 (+/-3.7) mL/cm(2) compared with 20.4 (+/-8.7) mL/cm(2) by using the ultrasonic aspirator (P = .004). CONCLUSIONS: In-line radiofrequency ablation reduced bleeding during hepatic parenchymal transection when compared with the ultrasonic aspirator.
Authors:
Koroush S Haghighi; Frank Wang; Julie King; Steven Daniel; David L Morris
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  190     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-06-23     Completed Date:  2005-08-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  43-7     Citation Subset:  AIM; IM    
Affiliation:
The University of New South Wales, Department of Surgery, St George Hospital, Kogarah, NSW 2217, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Loss, Surgical / prevention & control*
Catheter Ablation / instrumentation*,  methods
Electrodes
Female
Follow-Up Studies
Hemostasis, Surgical / methods*
Hepatectomy / methods*
Humans
Liver Neoplasms / pathology,  surgery*
Male
Middle Aged
Probability
Risk Assessment
Sampling Studies
Treatment Outcome

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


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