Impact of the VIO system in hepatic resection for patients with hepatocellular carcinoma

Shinji Itoh, Kengo Fukuzawa, Yuki Shitomi, Masahiro Okamoto, Tadahiko Kinoshita, Akinobu Taketomi, Ken Shirabe, Kenzo Wakasugi, Yoshihiko Maehara

研究成果: ジャーナルへの寄稿記事

26 引用 (Scopus)

抄録

Purposes: This study aimed to evaluate a novel surgical device combination [VIO system containing a bipolar clamp (BiClamp) and the monopolar soft-coagulation (SOFT COAG)] in hepatic resection for patients with hepatocellular carcinoma (HCC). Methods: This study performed 124 hepatic resections for HCC and divided them into 2 groups: 60 patients (Conventional group) underwent liver parenchymal transection using Cavitron Ultrasonic Surgical Aspirator (CUSA) system and saline-coupled bipolar electrocautery for hemostasis; the BiClamp was used with the CUSA system for liver parenchymal transection and SOFT COAG was used with saline-coupled bipolar electrocautery for hemostasis in 64 patients (VIO group). Results: The median blood loss in the VIO group was 345 mL, which was less than that in the Conventional group (median 548 mL, P = 0.0423). A multivariate logistic regression analysis showed that no use of the VIO system (P = 0.0172) was an independent predictor of intraoperative blood loss, respectively. In patients with liver cirrhosis, the VIO group included a significantly lower proportion of patients with liver cirrhosis that experienced more than 500 mL of intraoperative blood loss in comparison to those in the Conventional group (P = 0.0262). Conclusions: The VIO system was safe for hepatic resection and its use was associated with a significant decrease in intraoperative blood loss even in cirrhotic patients.

元の言語英語
ページ(範囲)1176-1182
ページ数7
ジャーナルSurgery today
42
発行部数12
DOI
出版物ステータス出版済み - 12 1 2012

Fingerprint

Hepatocellular Carcinoma
Liver
Electrocoagulation
Hemostasis
Ultrasonics
Liver Cirrhosis
Logistic Models
Regression Analysis
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Surgery

これを引用

Itoh, S., Fukuzawa, K., Shitomi, Y., Okamoto, M., Kinoshita, T., Taketomi, A., ... Maehara, Y. (2012). Impact of the VIO system in hepatic resection for patients with hepatocellular carcinoma. Surgery today, 42(12), 1176-1182. https://doi.org/10.1007/s00595-012-0306-6

Impact of the VIO system in hepatic resection for patients with hepatocellular carcinoma. / Itoh, Shinji; Fukuzawa, Kengo; Shitomi, Yuki; Okamoto, Masahiro; Kinoshita, Tadahiko; Taketomi, Akinobu; Shirabe, Ken; Wakasugi, Kenzo; Maehara, Yoshihiko.

:: Surgery today, 巻 42, 番号 12, 01.12.2012, p. 1176-1182.

研究成果: ジャーナルへの寄稿記事

Itoh, S, Fukuzawa, K, Shitomi, Y, Okamoto, M, Kinoshita, T, Taketomi, A, Shirabe, K, Wakasugi, K & Maehara, Y 2012, 'Impact of the VIO system in hepatic resection for patients with hepatocellular carcinoma', Surgery today, 巻. 42, 番号 12, pp. 1176-1182. https://doi.org/10.1007/s00595-012-0306-6
Itoh S, Fukuzawa K, Shitomi Y, Okamoto M, Kinoshita T, Taketomi A その他. Impact of the VIO system in hepatic resection for patients with hepatocellular carcinoma. Surgery today. 2012 12 1;42(12):1176-1182. https://doi.org/10.1007/s00595-012-0306-6
Itoh, Shinji ; Fukuzawa, Kengo ; Shitomi, Yuki ; Okamoto, Masahiro ; Kinoshita, Tadahiko ; Taketomi, Akinobu ; Shirabe, Ken ; Wakasugi, Kenzo ; Maehara, Yoshihiko. / Impact of the VIO system in hepatic resection for patients with hepatocellular carcinoma. :: Surgery today. 2012 ; 巻 42, 番号 12. pp. 1176-1182.
@article{54c293f6eb8f4e568b4cb95660555a15,
title = "Impact of the VIO system in hepatic resection for patients with hepatocellular carcinoma",
abstract = "Purposes: This study aimed to evaluate a novel surgical device combination [VIO system containing a bipolar clamp (BiClamp) and the monopolar soft-coagulation (SOFT COAG)] in hepatic resection for patients with hepatocellular carcinoma (HCC). Methods: This study performed 124 hepatic resections for HCC and divided them into 2 groups: 60 patients (Conventional group) underwent liver parenchymal transection using Cavitron Ultrasonic Surgical Aspirator (CUSA) system and saline-coupled bipolar electrocautery for hemostasis; the BiClamp was used with the CUSA system for liver parenchymal transection and SOFT COAG was used with saline-coupled bipolar electrocautery for hemostasis in 64 patients (VIO group). Results: The median blood loss in the VIO group was 345 mL, which was less than that in the Conventional group (median 548 mL, P = 0.0423). A multivariate logistic regression analysis showed that no use of the VIO system (P = 0.0172) was an independent predictor of intraoperative blood loss, respectively. In patients with liver cirrhosis, the VIO group included a significantly lower proportion of patients with liver cirrhosis that experienced more than 500 mL of intraoperative blood loss in comparison to those in the Conventional group (P = 0.0262). Conclusions: The VIO system was safe for hepatic resection and its use was associated with a significant decrease in intraoperative blood loss even in cirrhotic patients.",
author = "Shinji Itoh and Kengo Fukuzawa and Yuki Shitomi and Masahiro Okamoto and Tadahiko Kinoshita and Akinobu Taketomi and Ken Shirabe and Kenzo Wakasugi and Yoshihiko Maehara",
year = "2012",
month = "12",
day = "1",
doi = "10.1007/s00595-012-0306-6",
language = "English",
volume = "42",
pages = "1176--1182",
journal = "Surgery Today",
issn = "0941-1291",
publisher = "Springer Japan",
number = "12",

}

TY - JOUR

T1 - Impact of the VIO system in hepatic resection for patients with hepatocellular carcinoma

AU - Itoh, Shinji

AU - Fukuzawa, Kengo

AU - Shitomi, Yuki

AU - Okamoto, Masahiro

AU - Kinoshita, Tadahiko

AU - Taketomi, Akinobu

AU - Shirabe, Ken

AU - Wakasugi, Kenzo

AU - Maehara, Yoshihiko

PY - 2012/12/1

Y1 - 2012/12/1

N2 - Purposes: This study aimed to evaluate a novel surgical device combination [VIO system containing a bipolar clamp (BiClamp) and the monopolar soft-coagulation (SOFT COAG)] in hepatic resection for patients with hepatocellular carcinoma (HCC). Methods: This study performed 124 hepatic resections for HCC and divided them into 2 groups: 60 patients (Conventional group) underwent liver parenchymal transection using Cavitron Ultrasonic Surgical Aspirator (CUSA) system and saline-coupled bipolar electrocautery for hemostasis; the BiClamp was used with the CUSA system for liver parenchymal transection and SOFT COAG was used with saline-coupled bipolar electrocautery for hemostasis in 64 patients (VIO group). Results: The median blood loss in the VIO group was 345 mL, which was less than that in the Conventional group (median 548 mL, P = 0.0423). A multivariate logistic regression analysis showed that no use of the VIO system (P = 0.0172) was an independent predictor of intraoperative blood loss, respectively. In patients with liver cirrhosis, the VIO group included a significantly lower proportion of patients with liver cirrhosis that experienced more than 500 mL of intraoperative blood loss in comparison to those in the Conventional group (P = 0.0262). Conclusions: The VIO system was safe for hepatic resection and its use was associated with a significant decrease in intraoperative blood loss even in cirrhotic patients.

AB - Purposes: This study aimed to evaluate a novel surgical device combination [VIO system containing a bipolar clamp (BiClamp) and the monopolar soft-coagulation (SOFT COAG)] in hepatic resection for patients with hepatocellular carcinoma (HCC). Methods: This study performed 124 hepatic resections for HCC and divided them into 2 groups: 60 patients (Conventional group) underwent liver parenchymal transection using Cavitron Ultrasonic Surgical Aspirator (CUSA) system and saline-coupled bipolar electrocautery for hemostasis; the BiClamp was used with the CUSA system for liver parenchymal transection and SOFT COAG was used with saline-coupled bipolar electrocautery for hemostasis in 64 patients (VIO group). Results: The median blood loss in the VIO group was 345 mL, which was less than that in the Conventional group (median 548 mL, P = 0.0423). A multivariate logistic regression analysis showed that no use of the VIO system (P = 0.0172) was an independent predictor of intraoperative blood loss, respectively. In patients with liver cirrhosis, the VIO group included a significantly lower proportion of patients with liver cirrhosis that experienced more than 500 mL of intraoperative blood loss in comparison to those in the Conventional group (P = 0.0262). Conclusions: The VIO system was safe for hepatic resection and its use was associated with a significant decrease in intraoperative blood loss even in cirrhotic patients.

UR - http://www.scopus.com/inward/record.url?scp=84877273702&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84877273702&partnerID=8YFLogxK

U2 - 10.1007/s00595-012-0306-6

DO - 10.1007/s00595-012-0306-6

M3 - Article

C2 - 22993104

AN - SCOPUS:84877273702

VL - 42

SP - 1176

EP - 1182

JO - Surgery Today

JF - Surgery Today

SN - 0941-1291

IS - 12

ER -