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 |
| 巻 | 42 |
| 発行部数 | 12 |
| DOI | |
| 出版物ステータス | 出版済み - 12 1 2012 |
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All Science Journal Classification (ASJC) codes
- Surgery
これを引用
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
}
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.
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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 -