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[Hepatic resections. The results of using CUSA].
Laeknabladid
|May 20, 2011
Summary
Hepatic resections using CUSA in Iceland showed no operative mortality and good survival rates for liver tumors. This technology may simplify procedures and reduce bleeding.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Medical Devices
Context:
- Hepatic tumors (primary and secondary) are common but often inoperable.
- Curative liver resections are sometimes feasible.
- Elective hepatic resections were evaluated in Iceland from 1986-1993.
Purpose:
- To present the results and experiences of liver operations for primary, secondary, and benign lesions.
- To evaluate the effectiveness of the Cavitron Ultrasonic Surgical Aspirator (CUSA) in these procedures.
Summary:
- Fifteen hepatic resections were performed on fourteen patients, with CUSA assistance.
- Complications included six instances requiring reoperation or drainage.
- Median blood loss was 3000 ml, with a median transfusion volume of 3000 ml; median hospital stay was 24 days.
- No operative mortality was observed.
Impact:
- Survival rates for secondary liver tumors were 44% at various postoperative intervals.
- One of two patients with hepatoma survived 86 months postoperatively, considered cured.
- Hepatic resection in smaller centers can yield results comparable to larger series.
- CUSA appears to facilitate technically easier resections and reduce bleeding.