Radiofrequency Assisted Hepatic Parenchyma Resection Using Radiofrequent Generator (RF) Generator
| Autor: | Safet Musanovic, Edin Kulovic, Salem Bajramagic, Samir Muhovic, Jusuf Sabanovic, Ajdin Rovcanin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Original Paper business.industry Colorectal cancer General Medicine medicine.disease Surgery Resection surgery 03 medical and health sciences 0302 clinical medicine Blood loss Hepatic parenchyma 030220 oncology & carcinogenesis liver resection Medicine 030211 gastroenterology & hepatology Metastasectomy Gallbladder cancer RF generator business Primary liver cancer Abdominal surgery hospitalization |
| Zdroj: | Acta Informatica Medica |
| ISSN: | 1986-5988 0353-8109 |
| Popis: | Introduction: The role of Radio frequent Generator (RF) has been extended from simple tumor ablation to routine hepatic resection. RF energy precoagulates the tissue and thus allows the closure of small blood vessels and bile ducts. The development of surgical techniques and modern technological advances have enabled liver resections to be significantly surgically better controlled in the sense of bleeding, and are more successful and safer for patients. The RF generator has its advantages and disadvantages and as such can be equally used in resective liver surgery. Aim: Display the intraoperative and postoperative complications among patients that had been subjected to liver resection using a RF generator (RF resection), compared to those that had been subjected to liver resection without the use of RF generators (classical liver resection methods of CC resection). Material and methods: The study included 60 patients of both sexes which had resective operative surgery or metastasectomy on the liver due to the basic process. The study was conducted at the Clinic for General and Abdominal Surgery of the Clinical Center of the University of Sarajevo in a four-year period. The study was designed as a comparative study of outcome and postoperative complications of surgical treatment, i.e. resective liver interventions using two operating techniques (RF–liver resection and Classical resection techniques on the liver). Results: The highest number of surgical procedures was due to colorectal cancer. A slightly smaller number was performed due to primary liver cancer and gallbladder cancer. The highest number of surgical interventions remain on non-anatomic resections. Smaller number remains to large resective operations. The length of hospitalization was significantly correlated with blood loss (r = 713 p = 0,000) and the average hospitalization time ranged from 10.5 to 53.3 days. Conclusion: We have shown that the use of RF generators does not significantly reduce intraoperative and postoperative complications. There is a justification for using both techniques for resection on the liver. The resective liver operation depends mostly on the personal stance and the surgeons training. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|