NEW METHOD OF LIVER PARENCHYMA DISSECTION
https://doi.org/10.16931/1995-5464.2016256-61
Abstract
Aim. To study the effectiveness of the developed method consisting of crushing of liver parenchyma by clamp connected to high-frequency generator with simultaneous irrigation of dissection line with sodium chloride solution.
Material and Methods. We investigated the results of 40 liver resections which were divided into 3 groups. The study group included 15 resections performed by original method. The first control group consisted of 18 resections by bipolar coagulation, the second group consisted of 7 resections by harmonic scalpel.
Results. Blood loss was 627.011 ± 161.894 ml, 811 ml ± 225.088 and 1652.29 ± 624.507 ml in all groups respectively. The average duration of surgery was 301.67 ± 26.084 minutes in study group, 360.15 ± 29.316 minutes in the group of coagulation and 386.14 ± 40.409 minutes in the harmonic scalpel group. There were no significant differences in results (p = 0.104).
Conclusion. The original method reduces the level of blood loss without portal occlusion and duration of surgery in some degree. Reduced blood loss allows to perform widely segmental hepatectomy even in case of advanced intersection of parenchyma (for example mesohepatectomy), to expand the sample of operable patients and to improve outcomes.
About the Authors
G. G. Akhaladze
Russian Research Center of Roentgenoradiology
Russian Federation
Akhaladze Guram Germanovich — Doct. of Med. Sci., Professor, Chief Researcher of Research Department of Surgery and Surgical Technologies in Oncology
Russian Federation
Akhaladze Guram Germanovich — Doct. of Med. Sci., Professor, Chief Researcher of Research Department of Surgery and Surgical Technologies in Oncology
E. N. Grebenkin
Russian Research Center of Roentgenoradiology
Russian Federation
Russian Federation
Grebenkin Egor Nikolaevich — Cand. of Med. Sci., Researcher of Research Department of Surgery and Surgical Technologies in Oncology
For correspondence: Grebenkin Egor Nikolaevich — 10-26, Korolev, Tikhomirovoy str., 141090, Russian Federation
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Review
For citations:
Akhaladze G.G., Grebenkin E.N. NEW METHOD OF LIVER PARENCHYMA DISSECTION. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016;21(2):56-61. (In Russ.) https://doi.org/10.16931/1995-5464.2016256-61
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