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Two-surgeon technique using saline-linked electric cautery and ultrasonic surgical aspirator in living donor hepatectomy: its safety and efficacy


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Title: Two-surgeon technique using saline-linked electric cautery and ultrasonic surgical aspirator in living donor hepatectomy: its safety and efficacy
Authors: Takatsuki, Mitsuhisa / Eguchi, Susumu / Yamanouchi, Kosho / Tokai, Hirotaka / Hidaka, Masaaki / Soyama, Akihiko / Miyazaki, Kensuke / Hamasaki, Koji / Tajima, Yoshitsugu / Kanematsu, Takashi
Issue Date: Feb-2009
Publisher: Elsevier B.V.
Citation: The American Journal of Surgery, 197(2), pp.e25-e27; 2009
Abstract: Background: Saline-linked electric cautery (SLC) is introduced as an effective device to reduce blood loss in liver surgery. The aim of this study is to evaluate the safety and efficacy of two-surgeon technique using SLC and Cavitron Ultrasonic Surgical Aspirator (CUSA) in living donor hepatectomy. Methods: Forty-three living donor right hepatectomies were enrolled in this study. The first 28 cases underwent liver transection with CUSA alone (CUSA group), while additional SLC was applied in the current 15 cases (two-surgeon technique, TS group). Results: Blood loss was significantly reduced by two-surgeon technique (1115.2±652.9g in CUSA group vs 732.3±363.6g in TS group, p<0.05). In the TS group, there was no bile leakage from the cut surface. The early graft function and postoperative recipient survival were not significantly different between the groups. Conclusions: According to our single center experience, blood loss and donor complications were significantly reduced by two-surgeon technique using CUSA and SLC, with maintaining the graft viability.
Keywords: liver transplantation / living donor / hepatectomy
URI: http://hdl.handle.net/10069/20921
ISSN: 00029610
DOI: 10.1016/j.amjsurg.2008.01.019
Rights: © 2009 Elsevier Inc. All rights reserved.
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/20921

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