Bloodless liver resection using needle arrays under alternating electromagnetic fields
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Published on: March 3, 2023
Yan-Shen Shan1, Roberto Zuchini, Hung-Wen Tsai
1National Cheng Kung University, Tainan, Taiwan.
Background/Aim:
Hemostasis is a major difficulty associated with hepatectomies. The authors designed a new thermal surgery system to reduce blood loss.
Methods:
The newly designed system consists of an alternating magnetic field generator and stainless steel needle arrays with thermosensitive bands. Lanyu pigs were used: 4 for the Kelly crushing method and 4 for the newly designed method. The procedures used were S4-S5 segmentectomies or left lateral segmentectomies, after which the amount of blood loss and operation times were compared. The pigs were observed for 4 weeks, after which liver pathologies were studied.
Results:
The blood loss in the method proposed by the authors was almost 0 mL, whereas with the Kelly crushing method it was 116 +/- 35 mL. The method proposed in this study can save 15 to 25 minutes of operation time. The resected liver margins exhibited prominent apoptosis and fibrotic change in the remnant livers.
Conclusions:
The method proposed is a novel new way of performing thermal surgery.