Single instrument for hemostatic control in laparoscopic partial nephrectomy in a porcine model without renal vascular clamping
| Autor: | Antonio Güemes, Fernando Burdío, Ana Rodríguez González, Jorge Subirá Ríos, Ana Navarro, José Manuel Sánchez Zalabardo, Manuel Moros, Enrique Berjano |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Urology Urinary system medicine.medical_treatment Sus scrofa Bloodless rapid transection Kidney Nephrectomy Constriction Radiofrequency-assisted device TECNOLOGIA ELECTRONICA In-vivo medicine Animals Kidney surgery Laparoscopy medicine.diagnostic_test Liver resection business.industry medicine.disease Hemostasis Surgical Clamping Urinoma Surgery Treatment Outcome Hemostasis Models Animal High-density Female business Pig-liver |
| Zdroj: | RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia instname |
| DOI: | 10.1089/end.2010.0557 |
| Popis: | [EN] Materials and Methods: We performed a comparative experimental study between a new radiofrequency (RF)-assisted device consisting of a handheld instrument that simultaneously conducts coagulation and cutting tasks without hilar clamping vs a standard technique with hilar clamping. A porcine model was used (10 animals per group) with survival of 17 days. Results: The estimated blood loss with the new device was significantly lower than with the standard technique (15.5 +/- 23.7 vs 79.4 +/- 76.3 mL). Although transection time was longer with the new device (10.7 +/- 13.7 vs 2.1 +/- 1.2 min), the total operative time was significantly shorter (35.3 +/- 13.7 vs 60.2 +/- 10.5 min). Evidence of localized urinary extravasation (urinoma) was identical in both groups (five cases). The group subjected to the new device, however, showed a significantly higher number of cases of leakage after conducting the methylene-blue test: eight (80%) cases vs only one (11%) with the standard technique. Necrosis depth was significantly greater with the new device (6.6 +/- 0.9 vs This work received financial support from the Spanish "Plan Nacional de I + D + I del Ministerio de Ciencia e Innovacion," Grant No. TEC2008-01369/TEC. The translation of this paper was funded by the Universidad Politecnica de Valencia, Valencia, Spain. |
| Databáze: | OpenAIRE |
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