title: Practical usefulness of ultrasonic surgical aspirator with argon beam coagulation for hepatic parenchymal transection.
abstract: The objective of this study was to evaluate the effectiveness and feasibility of using the Cavitron ultrasonic surgical aspirator (CUSA) with argon beam coagulation (ABC) during hepatic resection, in comparison with a conventional method using CUSA with bipolar cautery. Between April 2003 and March 2004, a series of 14 consecutive patients underwent hepatic resection of normal liver. Hepatectomies were performed using CUSA and bipolar irrigation electrocautery (BP) in eight patients between April 2003 and December 2003. CUSA and an ABC were used in six patients between January 2004 and March 2004. There were no differences in patient characteristics between the two groups. Blood loss per area of transected liver surface was significantly lower for CUSA with ABC than for CUSA with BP (2.9 +/- 1.44 vs. 6.33 +/- 3.14 ml/cm2). Furthermore, the speed of resection, defined as resection time per area of transected liver surface, was significantly greater for CUSA with ABC than for CUSA with BP (0.53 +/- 0.14 vs. 2.18 +/- 1.73 min/cm2). This new technique of combining CUSA with ABC can decrease blood loss during hepatic parenchymal transection and shorten the resection time.
authors.affiliation: Gastroenterological Center, Yokohama City University Medical Center, Minami-ku, Yokohama, Japan. yasuhiko@urahp.yokohama-cu.ac.jp
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Nagano
authors.forename: Kenichi
authors.initials: K
authors.lastname: Matsuo
authors.forename: Chikara
authors.initials: C
authors.lastname: Kunisaki
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Ike
authors.forename: Toshio
authors.initials: T
authors.lastname: Imada
authors.forename: Kuniya
authors.initials: K
authors.lastname: Tanaka
authors.forename: Shinji
authors.initials: S
authors.lastname: Togo
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shimada
mesh_terms: D000368:Aged; D001128:Argon / Q000627:therapeutic use; D004564:Electrocoagulation; D005260:Female; D005740:Gases / Q000627:therapeutic use; D006498:Hepatectomy / Q000295:instrumentation*; D006801:Humans; D008107:Liver Diseases / Q000601:surgery*; D008297:Male; D014464:Ultrasonic Therapy / Q000295:instrumentation*
chemical_list: D005740:Gases; D001128:Argon