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肝脏切除术中的超声外科吸引器(CUSA)

Cavitron Ultrasonic Surgical Aspirator (CUSA) in liver resection.

作者信息

Fasulo F, Giori A, Fissi S, Bozzetti F, Doci R, Gennari L

机构信息

Oncologia Chirurgica A, Istituto Nazionale Tumori, Milano.

出版信息

Int Surg. 1992 Jan-Mar;77(1):64-6.

PMID:1577582
Abstract

At the Istituto Nazionale Tumori of Milan, the Cavitron Ultrasonic Surgical Aspirator (CUSA) was employed to perform hepatic resections in 34 patients with primary or secondary liver tumors. The use of CUSA has proved to be very efficient and safe. In lobectomies and extended lobectomies average bleeding was 685 cc with a mean resection time of 28 minutes. In segmentectomies, average bleeding was 540 cc with a mean resection time of 22 minutes. Comparing these data with those we previously obtained in hepatic resections using traditional methods (digitoclasia), it appears that despite overall operative times suffering no significant variation, a considerable reduction in bleeding was obtained, together with a notable fall in post-operative complications.

摘要

在米兰国立肿瘤研究所,34例原发性或继发性肝肿瘤患者接受了使用卡维超声手术吸引器(CUSA)进行的肝切除术。事实证明,使用CUSA非常有效且安全。在肝叶切除术和扩大肝叶切除术中,平均出血量为685毫升,平均切除时间为28分钟。在肝段切除术中,平均出血量为540毫升,平均切除时间为22分钟。将这些数据与我们之前使用传统方法(指压法)进行肝切除术时获得的数据相比,尽管总手术时间没有显著变化,但出血量显著减少,术后并发症也明显减少。

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