| Prevention of pleural effusion following hepatectomy using argon beam coagulation. | |
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MedLine Citation:
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PMID: 12594664 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Postoperative pleural effusion occurs frequently after hepatectomy. The value of the argon beam coagulator (ABC) for the prevention of pleural effusion after hepatectomy in patients with hepatocellular carcinoma was studied. METHODS: Sixty patients were divided randomly into two groups: an ABC group (n = 28), in which the cut surface of the hepatic ligaments and bare area of the retroperitoneum were cauterized using an ABC, and a control group (n = 32) in which the ABC was not applied. Patient characteristics, preoperative and postoperative liver function, and postoperative pleural effusion were compared between the two groups. RESULTS: There were no significant differences between the two groups with respect to histological findings, clinical stage, type of resection, operative data, and preoperative and postoperative laboratory data. One of 28 patients in the ABC group and nine of 32 patients in the control group had pleural effusion. The incidence was significantly lower in the ABC group than in the control group (P = 0.01). Pleurocentesis was needed in two of the ten patients and thoracic drainage in four patients. CONCLUSION: Application of an ABC to the cut surface of the hepatic ligaments and bare area of retroperitoneum after liver mobilization may prevent postoperative pleural effusion. |
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Authors:
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A-H Kwon; Y Matsui; S Satoi; M Kaibori; Y Kamiyama |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: The British journal of surgery Volume: 90 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 2003 Mar |
Date Detail:
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Created Date: 2003-02-20 Completed Date: 2003-04-10 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: England |
Other Details:
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Languages: eng Pagination: 302-5 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. |
Affiliation:
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First Department of Surgery, Kansai Medical University, 10-15 Fumizono, Moriguchi, Osaka, 570-8507, Japan. kon@takii.kmu.ac.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Argon Electrocoagulation / methods* Female Hepatectomy / methods* Humans Male Middle Aged Pleural Effusion / prevention & control* Postoperative Complications / prevention & control* Prospective Studies Single-Blind Method |
| Chemical | |
Reg. No./Substance:
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7440-37-1/Argon |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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