| A new single-instrument technique for parenchyma division and hemostasis in liver resection: a clinical feasibility study. | |
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MedLine Citation:
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PMID: 20864082 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The objective of this study was to evaluate the clinical feasibility of a new technique for liver resection based on a radiofrequency-assisted (485 kHz) device that has shown high performance in the animal setting in both transection speed and blood loss per transection area. Eight patients with colorectal hepatic metastasis underwent 11 partial hepatectomies using the proposed technique for both parenchyma division and hemostasis. Main outcome measures were blood loss per transection area and transection speed. No other instruments (including sutures or clips) were used in any of the cases; temporary vascular occlusion performed was not performed. No blood transfusions were required and no mortality or morbidity linked to the hepatic procedure were observed. The median blood loss per transection area and the median transection speed were .79 mL/cm² (range, .05-7.37 mL/cm²) and 1.28 cm²/min (range, .49-1.87 mL/cm²), respectively. During the follow-up period (range, 4-12 mo) no late complications were detected and postoperative patients were free from hepatic recurrence. The proposed radiofrequency-assisted device was shown to achieve parenchymal division and hemostasis simultaneously, resulting in extremely reduced blood loss. |
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Authors:
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Fernando Burdío; Luis Grande; Enrique Berjano; Maria Martinez-Serrano; Ignasi Poves; José M Burdío; Ana Navarro; Antonio Güemes |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: American journal of surgery Volume: 200 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-14 Completed Date: 2011-01-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: e75-80 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Surgery, Hospital del Mar, Passeig Maritim 2529 08003, Barcelona, Spain. fburdio@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aspartate Aminotransferases / blood Bilirubin / blood Blood Loss, Surgical Catheter Ablation / instrumentation* Feasibility Studies Female Hemostasis, Surgical / instrumentation* Hepatectomy / instrumentation* Humans Liver Neoplasms / secondary, surgery Male |
| Chemical | |
Reg. No./Substance:
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635-65-4/Bilirubin; EC 2.6.1.1/Aspartate Aminotransferases |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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