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Abstract
Objective: To investigate the technical characteristics and evaluate the early results (12 months) of liver resection using the Sonastar ultrasonic scalpel for liver parenchyma transection.
Methods: The study included 69 patients who underwent liver resection using the Sonastar ultrasonic scalpel for liver parenchyma transection at Hue Central Hospital from January 2019 to December 2023.
Results: The following results were obtained from 69 patients who underwent liver resection using the Sonastar scalpel for liver parenchyma transection: The mean age was 56.8 ± 11.9 (25 - 80) years, and the male - female ratio was 4.8. Solitary tumors accounted for 79.7%; tumor sizes > 5 cm were 68.1%. The mean liver parenchyma transection time was 55.9 ± 23.7 (45 - 127) minutes, the mean surgical time was 131.6 ± 59.3 (90 - 280) minutes, the mean blood loss was 237.5 ± 141.6 (150 - 650) ml, and the mean hospital stay was 8.4 ± 4.7 (7 - 23) days. The overall postoperative complication and mortality rates were 13% and 1.4%, respectively. The mean overall survival was 26.2 ± 15.2 (12 - 59) months, and the mean disease - free survival was 24.8 ± 14.7 (1 - 54) months.
Conclusion: The utilization of the Sonastar ultrasonic scalpel for liver resection minimizes blood loss, enables precise management of the intrahepatic bile ducts, decreases the occurrence of bile leakage, ensures effective control of the liver transection surface, guarantees a safe margin for liver transection, and has the potential to decrease early recurrence and improve postoperative survival.
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| Published | 13-06-2024 | |
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| Issue | No. 96 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.96.11 | |
| Keywords | Cắt gan, Sonastar Liver resection, Sonastar |
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