New technique in hepatic parenchymal transection for living related liver donor and liver neoplasms

Salvatore Gruttadauria, Cataldo Doria, Claudio H. Vitale, Lucio Mandala, Mario Magnone, John J. Fung, Ignazio R. Marino

Research output: Contribution to journalArticle

Abstract

Background. Many different surgical techniques have been described for hepatic parenchymal transection. A retrospective analysis of perioperative mortality, length of hospitalization and blood transfused during operation in two patient groups undergoing liver resection was carried out. In group A, we developed a new technique to resect hepatic parenchyma, using an ultrasonic surgical aspirator with monopolar floating ball cautery, while in group B the crushing clamp technique was used. Methods. In all, 42 patients with liver resection were enrolled in group A and 107 resections in group B. All patients had hepatic neoplasms except for seven living transplant donors. In group A 43% of resections involved ≥3 segments and 57% involved ≤2 segments; in group B 36.4% involved ≥3 segments and 63.6% consisted of ≤2 segments. Statistical analysis utilised independent T square (Pearson Q square) and Mann-Whitney U test. Results. In group A 2.4% of patients died perioperatively, while 3.7% died in group B; mean length of stay (LOS) was 10.9 days in group B and 8.0 days in group A. The length of procedure was 7.5 h in group B and 6.7 h in group A. In group A, 79% did not undergo blood transfusion intraoperatively as opposed to 61% in group B. A mean of 0.5 U of blood was utilized in group A and 1.60 U in group B. Discussion. The new method of parenchymal transection seems to reduce the LOS, length of procedure and need for intraoperative blood transfusion.

Original languageEnglish
Pages (from-to)106-109
Number of pages4
JournalHPB
Volume6
Issue number2
DOIs
Publication statusPublished - 2004

Fingerprint

Liver Neoplasms
Tissue Donors
Liver
Blood Transfusion
Length of Stay
Cautery
Living Donors
Nonparametric Statistics
Ultrasonics
Hospitalization
Mortality

Keywords

  • CUSA
  • Liver resection
  • Tissue link

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Gruttadauria, S., Doria, C., Vitale, C. H., Mandala, L., Magnone, M., Fung, J. J., & Marino, I. R. (2004). New technique in hepatic parenchymal transection for living related liver donor and liver neoplasms. HPB, 6(2), 106-109. https://doi.org/10.1080/13651820410025093

New technique in hepatic parenchymal transection for living related liver donor and liver neoplasms. / Gruttadauria, Salvatore; Doria, Cataldo; Vitale, Claudio H.; Mandala, Lucio; Magnone, Mario; Fung, John J.; Marino, Ignazio R.

In: HPB, Vol. 6, No. 2, 2004, p. 106-109.

Research output: Contribution to journalArticle

Gruttadauria, S, Doria, C, Vitale, CH, Mandala, L, Magnone, M, Fung, JJ & Marino, IR 2004, 'New technique in hepatic parenchymal transection for living related liver donor and liver neoplasms', HPB, vol. 6, no. 2, pp. 106-109. https://doi.org/10.1080/13651820410025093
Gruttadauria, Salvatore ; Doria, Cataldo ; Vitale, Claudio H. ; Mandala, Lucio ; Magnone, Mario ; Fung, John J. ; Marino, Ignazio R. / New technique in hepatic parenchymal transection for living related liver donor and liver neoplasms. In: HPB. 2004 ; Vol. 6, No. 2. pp. 106-109.
@article{79149ee7086c40648436cd742fbd660b,
title = "New technique in hepatic parenchymal transection for living related liver donor and liver neoplasms",
abstract = "Background. Many different surgical techniques have been described for hepatic parenchymal transection. A retrospective analysis of perioperative mortality, length of hospitalization and blood transfused during operation in two patient groups undergoing liver resection was carried out. In group A, we developed a new technique to resect hepatic parenchyma, using an ultrasonic surgical aspirator with monopolar floating ball cautery, while in group B the crushing clamp technique was used. Methods. In all, 42 patients with liver resection were enrolled in group A and 107 resections in group B. All patients had hepatic neoplasms except for seven living transplant donors. In group A 43{\%} of resections involved ≥3 segments and 57{\%} involved ≤2 segments; in group B 36.4{\%} involved ≥3 segments and 63.6{\%} consisted of ≤2 segments. Statistical analysis utilised independent T square (Pearson Q square) and Mann-Whitney U test. Results. In group A 2.4{\%} of patients died perioperatively, while 3.7{\%} died in group B; mean length of stay (LOS) was 10.9 days in group B and 8.0 days in group A. The length of procedure was 7.5 h in group B and 6.7 h in group A. In group A, 79{\%} did not undergo blood transfusion intraoperatively as opposed to 61{\%} in group B. A mean of 0.5 U of blood was utilized in group A and 1.60 U in group B. Discussion. The new method of parenchymal transection seems to reduce the LOS, length of procedure and need for intraoperative blood transfusion.",
keywords = "CUSA, Liver resection, Tissue link",
author = "Salvatore Gruttadauria and Cataldo Doria and Vitale, {Claudio H.} and Lucio Mandala and Mario Magnone and Fung, {John J.} and Marino, {Ignazio R.}",
year = "2004",
doi = "10.1080/13651820410025093",
language = "English",
volume = "6",
pages = "106--109",
journal = "HPB",
issn = "1365-182X",
publisher = "John Wiley and Sons Inc.",
number = "2",

}

TY - JOUR

T1 - New technique in hepatic parenchymal transection for living related liver donor and liver neoplasms

AU - Gruttadauria, Salvatore

AU - Doria, Cataldo

AU - Vitale, Claudio H.

AU - Mandala, Lucio

AU - Magnone, Mario

AU - Fung, John J.

AU - Marino, Ignazio R.

PY - 2004

Y1 - 2004

N2 - Background. Many different surgical techniques have been described for hepatic parenchymal transection. A retrospective analysis of perioperative mortality, length of hospitalization and blood transfused during operation in two patient groups undergoing liver resection was carried out. In group A, we developed a new technique to resect hepatic parenchyma, using an ultrasonic surgical aspirator with monopolar floating ball cautery, while in group B the crushing clamp technique was used. Methods. In all, 42 patients with liver resection were enrolled in group A and 107 resections in group B. All patients had hepatic neoplasms except for seven living transplant donors. In group A 43% of resections involved ≥3 segments and 57% involved ≤2 segments; in group B 36.4% involved ≥3 segments and 63.6% consisted of ≤2 segments. Statistical analysis utilised independent T square (Pearson Q square) and Mann-Whitney U test. Results. In group A 2.4% of patients died perioperatively, while 3.7% died in group B; mean length of stay (LOS) was 10.9 days in group B and 8.0 days in group A. The length of procedure was 7.5 h in group B and 6.7 h in group A. In group A, 79% did not undergo blood transfusion intraoperatively as opposed to 61% in group B. A mean of 0.5 U of blood was utilized in group A and 1.60 U in group B. Discussion. The new method of parenchymal transection seems to reduce the LOS, length of procedure and need for intraoperative blood transfusion.

AB - Background. Many different surgical techniques have been described for hepatic parenchymal transection. A retrospective analysis of perioperative mortality, length of hospitalization and blood transfused during operation in two patient groups undergoing liver resection was carried out. In group A, we developed a new technique to resect hepatic parenchyma, using an ultrasonic surgical aspirator with monopolar floating ball cautery, while in group B the crushing clamp technique was used. Methods. In all, 42 patients with liver resection were enrolled in group A and 107 resections in group B. All patients had hepatic neoplasms except for seven living transplant donors. In group A 43% of resections involved ≥3 segments and 57% involved ≤2 segments; in group B 36.4% involved ≥3 segments and 63.6% consisted of ≤2 segments. Statistical analysis utilised independent T square (Pearson Q square) and Mann-Whitney U test. Results. In group A 2.4% of patients died perioperatively, while 3.7% died in group B; mean length of stay (LOS) was 10.9 days in group B and 8.0 days in group A. The length of procedure was 7.5 h in group B and 6.7 h in group A. In group A, 79% did not undergo blood transfusion intraoperatively as opposed to 61% in group B. A mean of 0.5 U of blood was utilized in group A and 1.60 U in group B. Discussion. The new method of parenchymal transection seems to reduce the LOS, length of procedure and need for intraoperative blood transfusion.

KW - CUSA

KW - Liver resection

KW - Tissue link

UR - http://www.scopus.com/inward/record.url?scp=2542512301&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2542512301&partnerID=8YFLogxK

U2 - 10.1080/13651820410025093

DO - 10.1080/13651820410025093

M3 - Article

C2 - 18333059

AN - SCOPUS:2542512301

VL - 6

SP - 106

EP - 109

JO - HPB

JF - HPB

SN - 1365-182X

IS - 2

ER -