Ho Van Linh, Pham Nhu Hien, Nguyen Thanh Xuan, Tran An Phong, Dang Nhu Thanh, Pham Nhu Hiep
Digestive Surgery Department, Hue Central Hospital, Hue City, Vietnam.
Department of Abdominal Emergency and Pediatric Surgery, Hue Central Hospital, Hue City, Vietnam.
Clin Exp Gastroenterol. 2021 Jun 22;14:297-302. doi: 10.2147/CEG.S319434. eCollection 2021.
This study aims to explore the short-term results of hepatectomy with Takasaki's technique using Sonastar ultrasonic aspiration system.
We retrospectively examined data of 58 patients who underwent hepatectomy with Takasaki's technique using Sonastar ultrasonic aspiration system at Hue Central Hospital from 01/2018 to 02/2021.
The mean age was 60.7 ± 10.5 years (25-80) and the male/female ratio was 6:1. Patients with solitary tumor accounted for 79%; 68.4% had tumor size greater than 5 cm. Pringle maneuver was used in 57.9%, while selective right or left Glissonean pedicle occlusion was used in 69.0% and 32.8%, respectively. Final transection surface reinforcement was achieved by Surgicel and BioGlue in 78.9% and 21.5% of cases, respectively. Major liver resection accounted for 73.7%. The mean parenchymal transection time was 50 (45-110) minutes, while mean total operative time was 125 (90-280) minutes. Mean operative blood loss was 250 (150-650) mL. Mean post-operative hospital stay was 8 days (7-23). Post-operative complication rate was 15.9% and mortality rate was 1.7%.
Hepatectomy using Takasaki technique with Sonastar ultrasonic aspiration system is safe, effective, allowing an anatomical resection with sufficient safety margin and resulting in low complication rates (liver failure, biliary leakage) and good survival outcomes.
本研究旨在探讨使用索纳星超声吸引系统行高崎技术肝切除术的短期结果。
我们回顾性分析了2018年1月至2021年2月在顺化中心医院使用索纳星超声吸引系统行高崎技术肝切除术的58例患者的数据。
平均年龄为60.7±10.5岁（25 - 80岁），男女比例为6:1。孤立性肿瘤患者占79%；68.4%的患者肿瘤大小大于5 cm。57.9%的患者采用了肝门阻断法，而选择性右或左肝蒂阻断分别用于69.0%和32.8%的患者。分别有78.9%和21.5%的病例通过外科止血纱布和生物胶实现了最终断面加固。大肝切除术占73.7%。实质切断平均时间为50（45 - 110）分钟，而平均总手术时间为125（90 - 280）分钟。平均术中失血量为250（150 - 650）mL。术后平均住院时间为8天（7 - 23天）。术后并发症发生率为15.9%，死亡率为1.7%。
使用索纳星超声吸引系统行高崎技术肝切除术安全、有效，能进行具有足够安全切缘的解剖性切除，并发症发生率低（肝衰竭、胆漏），生存结果良好。
