Comparison of the outcome and complications of Crush-clamp and Ultrasonic dissection surgery techniques in hepatectomy surgery in patients with hepatic mass

Document Type : Original Article

Author

jundishapur univercity of medical sciences,ahvaz,iran

10.22118/jjo.2021.287658.1011

Abstract

Background: Perioperative hemorrhage and postoperative bile leakage are important complications of hepatectomy. Various methods to reduce intra-operative bleeding during liver transection have been reported. We designed a randomized clinical trial to compare the outcomes and complications between crush clamp and ultrasound dissection methods in liver transection.
Materials and Method: Twenty patient undergone hepatectomy with the crush clamp method. While the ultrasonic dissection group consisted of 20 patients. The surgical outcome and complications including: duration of the surgery, bleeding, Packed Cells. request, after operation bile leakage, hospital stay, and hepatic failure were evaluated and compared.
Results: Mean blood loss was 247 ml in crush clamp group and 232 ml in ultrasonic dissection group. Blood loss in ultrasonic method was lower but the difference did not reach significant level. Duration of surgery was almost identical, but duration of transection in crush clamp group was shorter than ultrasonic dissection group. The mean crush clamp method was faster. Acidosis and hepatic failure were rare (Give data for incidence of each) and difference was not significant. There were no cases with infection and bile leakage.
Conclusion: Post-operative complications did not different in two groups, but the duration of transection in crush clamp was shorter than ultrasonic dissection method and blood loss was almost identical.
Because ultrasonic dissection is an equipment-dependent procedure and more expensive, therefore we trend to perform liver transection with crush clamp method.

Keywords

Main Subjects



Articles in Press, Accepted Manuscript
Available Online from 26 July 2021
  • Receive Date: 24 May 2021
  • Revise Date: 12 July 2021
  • Accept Date: 26 July 2021