Abstract
Introduction. To eliminate mortality and morbidity risk in living related liver donors, we developed a new surgical technique to resect hepatic parenchyma using an ultrasonic surgical aspirator in association with a monopolar floating ball cautery. Methods. We performed 17 right hepatectomies and 2 left hepatectomies using this technique. We performed a retrospective analysis of perioperative mortality, length of hospitalization (LOS), blood transfused during surgery (IBT), intraoperative blood lost (IBL), biliary complications (BC), and aspartate aminotransferase (AST)/alanine aminotransferase (ALT) peak in the first postoperative week. This group of patients (Group A) was compared, using the analysis of variance (ANOVA) test (P <.05) with 2 different groups of 19 patients: Group B with liver neoplasms that had the same technique as Group A, and Group C wherein a crushing clamp technique was used. Results. All of the analyzed variables showed significative statistical differences, especially between Group A and Group C (IBL, P <.000; IBT, P <.006; LOS, P <.028; BC, P <.000; AST peak, P <.041; and ALT peak, P <.023). Discussion. The association of these 2 techniques seems to reduce the LOS, and the need for intraoperative blood transfusions. Moreover, the surgical complications (biliary leaks) and the postoperative parenchymal cytonecrosis seem to be less using this technique.
| Original language | English |
|---|---|
| Pages (from-to) | 2589-2591 |
| Number of pages | 3 |
| Journal | Transplantation Proceedings |
| Volume | 37 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2005 |
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ASJC Scopus subject areas
- Surgery
- Transplantation
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Improvements in hepatic parenchymal transection for living related liver donor. / Gruttadauria, S.; Mandalà, L.; Vasta, F.; Cintorino, D.; Musumeci, A.; Marsh, W.; Marcos, A.; Gridelli, B.
In: Transplantation Proceedings, Vol. 37, No. 6, 2005, p. 2589-2591.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Improvements in hepatic parenchymal transection for living related liver donor
AU - Gruttadauria, S.
AU - Mandalà, L.
AU - Vasta, F.
AU - Cintorino, D.
AU - Musumeci, A.
AU - Marsh, W.
AU - Marcos, A.
AU - Gridelli, B.
PY - 2005
Y1 - 2005
N2 - Introduction. To eliminate mortality and morbidity risk in living related liver donors, we developed a new surgical technique to resect hepatic parenchyma using an ultrasonic surgical aspirator in association with a monopolar floating ball cautery. Methods. We performed 17 right hepatectomies and 2 left hepatectomies using this technique. We performed a retrospective analysis of perioperative mortality, length of hospitalization (LOS), blood transfused during surgery (IBT), intraoperative blood lost (IBL), biliary complications (BC), and aspartate aminotransferase (AST)/alanine aminotransferase (ALT) peak in the first postoperative week. This group of patients (Group A) was compared, using the analysis of variance (ANOVA) test (P <.05) with 2 different groups of 19 patients: Group B with liver neoplasms that had the same technique as Group A, and Group C wherein a crushing clamp technique was used. Results. All of the analyzed variables showed significative statistical differences, especially between Group A and Group C (IBL, P <.000; IBT, P <.006; LOS, P <.028; BC, P <.000; AST peak, P <.041; and ALT peak, P <.023). Discussion. The association of these 2 techniques seems to reduce the LOS, and the need for intraoperative blood transfusions. Moreover, the surgical complications (biliary leaks) and the postoperative parenchymal cytonecrosis seem to be less using this technique.
AB - Introduction. To eliminate mortality and morbidity risk in living related liver donors, we developed a new surgical technique to resect hepatic parenchyma using an ultrasonic surgical aspirator in association with a monopolar floating ball cautery. Methods. We performed 17 right hepatectomies and 2 left hepatectomies using this technique. We performed a retrospective analysis of perioperative mortality, length of hospitalization (LOS), blood transfused during surgery (IBT), intraoperative blood lost (IBL), biliary complications (BC), and aspartate aminotransferase (AST)/alanine aminotransferase (ALT) peak in the first postoperative week. This group of patients (Group A) was compared, using the analysis of variance (ANOVA) test (P <.05) with 2 different groups of 19 patients: Group B with liver neoplasms that had the same technique as Group A, and Group C wherein a crushing clamp technique was used. Results. All of the analyzed variables showed significative statistical differences, especially between Group A and Group C (IBL, P <.000; IBT, P <.006; LOS, P <.028; BC, P <.000; AST peak, P <.041; and ALT peak, P <.023). Discussion. The association of these 2 techniques seems to reduce the LOS, and the need for intraoperative blood transfusions. Moreover, the surgical complications (biliary leaks) and the postoperative parenchymal cytonecrosis seem to be less using this technique.
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U2 - 10.1016/j.transproceed.2005.06.062
DO - 10.1016/j.transproceed.2005.06.062
M3 - Article
VL - 37
SP - 2589
EP - 2591
JO - Transplantation Proceedings
JF - Transplantation Proceedings
SN - 0041-1345
IS - 6
ER -