Ultrasonic dissection in resection of hepatocellular carcinoma
Chou, F.F.; Chen, C.L.; Sheen-Chen, S.M.; Chen, Y.S.; Chen, M.C.
International Surgery 80(2): 105-107
1995
ISSN/ISBN: 0020-8868 PMID: 8530221 Document Number: 451418
An ultrasonic dissector has been used in the resection of liver tumors and was found to be safe and efficient in noncirrhotic patients. Thirty-one (cirrhosis, 61%) liver resections for hepatoma treated with ultrasonic dissector were compared to 39 (cirrhosis, 74%) resections treated with finger fracture. We found that patients treated with an ultrasonic dissector versus those treated by finger fracture, had less blood loss (especially in cirrhotic liver), 836 +/- 593 cc vs 1348 +/- 1226 cc, more operative time, 337.6 +/- 100.5 min vs 197 +/- 92.8 min, more days of hospital stay 19.1 +/- 12.8 days vs 11.5 +/- 5.6 days and more days of removal of drains, 14.9 +/- 11.7 days vs 10.2 +/- 6.4 days. The morbidity, mortality, amount of blood transfusion and amount of drainage were quite similar between two groups.