The mortality and morbidity in major hepatic resection is often related to hemorrhage. A high pressure, high velocity water jet has been developed and has been utilized to assist in hepatic parenchymal transection. Sixty-seven major hepatic resections were performed for solid hepatic tumors. The tissue fracture technique was used in 51 patients (76%), and the water jet dissector was used predominantly in 16 patients (24%). The extent of hepatic resection using each technique was similar. The results showed no difference in operative duration (p=.499). The mean estimated blood loss using the water jet was 1386 ml, and tissue fracture technique 2450 ml (p=.217). Transfusion requirements were less in the water jet group (mean 2.0 units) compared to the tissue fracture group (mean 5.2 units); (p=.023). Results obtained with the new water dissector are encouraging. The preliminary results suggest that blood loss may be diminished. © 1993, Harwood Academic Publishers GmbH.

Hepatic Resection Using a Water Jet Dissector

Guastella T.;
1993-01-01

Abstract

The mortality and morbidity in major hepatic resection is often related to hemorrhage. A high pressure, high velocity water jet has been developed and has been utilized to assist in hepatic parenchymal transection. Sixty-seven major hepatic resections were performed for solid hepatic tumors. The tissue fracture technique was used in 51 patients (76%), and the water jet dissector was used predominantly in 16 patients (24%). The extent of hepatic resection using each technique was similar. The results showed no difference in operative duration (p=.499). The mean estimated blood loss using the water jet was 1386 ml, and tissue fracture technique 2450 ml (p=.217). Transfusion requirements were less in the water jet group (mean 2.0 units) compared to the tissue fracture group (mean 5.2 units); (p=.023). Results obtained with the new water dissector are encouraging. The preliminary results suggest that blood loss may be diminished. © 1993, Harwood Academic Publishers GmbH.
1993
Hepatic resection; liver tumour; water jet dissector; Adenoma, Bile Duct; Adult; Bile Duct Neoplasms; Biliary Fistula; Blood Loss, Surgical; Blood Transfusion; Carcinoma, Hepatocellular; Dissection; Female; Hemoglobins; Hepatectomy; Humans; Liver Neoplasms; Male; Middle Aged; Survival Rate; Time Factors; Water
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11769/366422
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