Radio-frequency hemostasis in hepatectomy
10.3760/cma.j.issn.1007-631X.2011.10.019
- VernacularTitle:射频止血技术在肝切除术中的应用
- Author:
Jianli GENG
;
Shengyong LI
;
Zhongxiao ZHOU
;
Yunfu SUN
;
Zhongjian YU
;
Ruohui GAO
;
Jianwen QIAO
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Hepatectomy;
Hemostatic techniques;
Radiofrequency
- From:
Chinese Journal of General Surgery
2011;26(10):860-862
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate radio-frequency hemostasis in hepatectomy.MethodsFrom January 2009 to February 2011,the clinical data of 60 patients undergoing curative liver resection were divided into two groups using radio-frequency hemostasis (RFH) and clamp crushing method (CCM) respectively,RFH group (30 cases) and CCM group (30 cases).There was no difference between the 2 groups regarding the age,sex.hepatic function and tumor size.Data regarding the intra-operative and postoperative courses of the patients were analyzed.ResultsNo damage of hepatic vein occured in RFH group.Hepatic veins rupture occurred in 5 cases and massive bleeding occurred in 3 cases in CCM group.lntra-operative blood loss was significantly less in FRH group [ (219 ±62) ml] than in CCM group [ (416 ±96) ml ] (P ＜ 0.05 ).The postoperative drainage volume in RFH group was significantly less than that in CCM group on the third postoperative day.The serum ALT and T-BIL in RFH group was significantly lower than that in CCM group on postoperative day 1 and day 7 ( separately t =5.987,16.803,22.264,8.386,8.255,all P ＜0.05 ).Postoperative hepatic function in RFH group was significantly better than that in CCM group.ConclusionsThe use of radio-frequency hemostasis in hepatectomy is less traumatic,of less bleeding,faster recovery than clamp crashing method.
