Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2019  |  Volume : 38  |  Issue : 1  |  Page : 87-94

Randomized, comparative study between using harmonic scalpel with monopolar cautery versus cavitron ultrasonic surgical aspirator with bipolar cautery in liver resection


Department of Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Correspondence Address:
Mohamed A Naga

Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejs.ejs_118_18

Rights and Permissions

Introduction Over the last two decades, many studies have been done to assess the best technique and device for liver resection. On a trial to solve this issue, we conducted this study. Materials and methods Starting from January 2017, 60 patients underwent formal hepatectomies in Ain Shams University Hospitals using two different devices. A total of 30 patients with a mean age of 43 years underwent hepatectomy using cavitron ultrasonic surgical aspirator (CUSA) and the other 30 patients with a mean age of 45.53 years by using the harmonic scalpel. As for the sex, the women were more than men in the harmonic group (n=23 of 30) while in the CUSA group they were less (n=10 of 30). All patients underwent formal hepatectomies; in the CUSA group the majority had right hepatectomy (n=16 of 30) while in the harmonic group the majority had left hepatectomy (n=18 of 30). Results In the CUSA group, the mean operative time was 226.93 min and the resection time was 117.77 min while in the harmonic group, the mean operative time was 202.33 min and the resection time was 102.5 min. In the CUSA group, the mean amount of blood loss was 736.67 ml and the mean blood transfusion was 3.17 units of Packed red Blood Cells (PRBCs), while in the harmonic group, the mean amount of blood loss was 516.67 ml and the mean blood transfusion was 2.57 units of PRBCs. In the CUSA group, 11 patients suffered from postoperative bleeding and seven patients had abdominal hematoma by ultrasound and four patients needed reexploration. In the harmonic group, four patients suffered from postoperative bleeding and one patient had abdominal hematoma by ultrasound and one patient needed reexploration. Conclusion In our study, apart from the biliary complications, we believe that harmonic scalpel is faster and safer than the cusa. Yet another study should be conducted to assess the safety and efficacy of using both devices in combination.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed552    
    Printed42    
    Emailed0    
    PDF Downloaded63    
    Comments [Add]    

Recommend this journal