USE OF DIODE LASER FOR LIVER RESECTION (EXPERIMENTAL STUDY)
https://doi.org/10.16931/1995-5464.201549-16
Abstract
Aim. To define oppertunities of diode laser with wave length 0.97 μm in liver surgery to prevent postoperative complications.
Material and Methods. 90 rabbits were divided into 3 groups according to type of left liver lobe resection: intermitted laser (group 1), continuous laser (group 2) and bipolar coagulation (group 3). Following parameters of surgical procedure were studied: total duration of surgery, parenchyma dissection time, resected lobe volume, primary liver resection margin size, liver resection margin size by the end of experiment, blood loss, liver parenchyma hemostatic suturing after its dissection, liver parenchyma compression during its dissection, postoperative adhesive process, wound and intraabdominal infectious complications.
Results. Intermitted laser in liver resection decreased blood loss (Ме (25%; 75%) = 3 ml (3; 4,5)) (р < 0.05), need for hemostatic suturing after parenchyma dissection (р < 0.05), incidence of wound and intraabdominal infectious complications, severity of adhesive process. Minimum duration of surgery was observed in group 3 (Ме (25%; 75%) = 17 min (16; 19)) (р < 0.05). Liver resection margin evolution was faster and favorable in group 1.
Conclusion. Intermitted diode laser with wave length 0.97 μm is suitable method in order to perform liver parenchyma dissection in different clinical situations.
About the Authors
I. Yu. Kolyshev
A.I. Burnazyan Federal Medical Biophysical Center of Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
Kolyshev Ilya Yur'evich – Surgeon at the Center of Surgery and Transplantology
For correspondence: Kolyshev Ilya Yur'evich – 23, Marshala Novikova str., Moscow, 123098, Russian Federation
A. I. Artemiev
A.I. Burnazyan Federal Medical Biophysical Center of Federal Medical and Biological Agency of Russia
Russian Federation
Artemiev Alexey Igorevich – Cand. of Med. Sci., Surgeon at the Center of Surgery and Transplantology
Russian Federation
Artemiev Alexey Igorevich – Cand. of Med. Sci., Surgeon at the Center of Surgery and Transplantology
M. V. Shabalin
A.I. Burnazyan Federal Medical Biophysical Center of Federal Medical and Biological Agency of Russia
Russian Federation
Shabalin Maxim Vyacheslavovich – Surgeon at the Center of Surgery and Transplantology
Russian Federation
Shabalin Maxim Vyacheslavovich – Surgeon at the Center of Surgery and Transplantology
A. P. Mal'tseva
A.I. Burnazyan Federal Medical Biophysical Center of Federal Medical and Biological Agency of Russia
Russian Federation
Mal'tseva Anna Pogosovna – Surgeon at the Center of Surgery and Transplantology
Russian Federation
Mal'tseva Anna Pogosovna – Surgeon at the Center of Surgery and Transplantology
S. E. Voskanyan
A.I. Burnazyan Federal Medical Biophysical Center of Federal Medical and Biological Agency of Russia
Russian Federation
Voskanyan Sergey Eduardovich – Doct. of Med. Sci., Head of Center of Surgery and Transplantology, Head of the Chair of Surgery with Courses of Oncology, Endoscopy, Intensive Care, Surgical Pathology, Clinical Transplantology and Organ Donation of the Postgraduate Professional Education Institute
Russian Federation
Voskanyan Sergey Eduardovich – Doct. of Med. Sci., Head of Center of Surgery and Transplantology, Head of the Chair of Surgery with Courses of Oncology, Endoscopy, Intensive Care, Surgical Pathology, Clinical Transplantology and Organ Donation of the Postgraduate Professional Education Institute
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Review
For citations:
Kolyshev I.Yu., Artemiev A.I., Shabalin M.V., Mal'tseva A.P., Voskanyan S.E. USE OF DIODE LASER FOR LIVER RESECTION (EXPERIMENTAL STUDY). Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2015;20(4):9-16. (In Russ.) https://doi.org/10.16931/1995-5464.201549-16
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