HEPATIC RESECTION USING A WATER JET DISSECTOR
HEPATIC RESECTION USING A WATER JET DISSECTOR
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DOI：
10.1007/bf00308996
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发表时间：
1993-01-01
期刊：
影响因子：
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通讯作者：
MIYAZAKI, I
中科院分区：
文献类型：
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作者：
IZUMI, R;YABUSHITA, K;MIYAZAKI, I
一种新设计的水射流解剖器用于人类肝脏切除术。为了评估其实用性，我们将水射流解剖器与超声手术吸引器在平均出血量和手术时间方面进行了比较。在肝硬化患者的肝切除术中，水射流解剖器肝切除术的平均出血量明显小于超声手术吸引器（P < 0.05）。然而，在无肝硬化患者的肝切除术中，两组患者在肝切除术期间的平均出血量没有显著差异。在有肝硬化和无肝硬化的肝切除术患者中，两种手术方式的手术时间也没有显著差异。无严重并发症可归因于使用水射流解剖器。因此，水射流解剖器被认为是一种有用的新装置，用于肝切除术中肝脏的横切。
A newly-designed water jet dissector was used for hepatic resections in humans. To evaluate its usefulness, the water jet dissector was compared to an ultrasonic surgical aspirator in terms of average blood loss and time of operation. In hepatectomies on patients associated with liver cirrhosis, the average blood loss during hepatic resection using the water jet dissector was significantly smaller (P < 0.05) than that with the ultrasonic surgical aspirator. However, in hepatectomies on patients without cirrhosis, the average blood loss during hepatic resection did not significantly differ between the two groups. Neither did the time of operation significantly differ between the two procedures in hepatectomies on patients with and without liver cirrhosis. No serious complications attributable to the use of the water jet dissector were encountered. The water jet dissector is thus considered to be a useful new device for use in the transection of the liver during hepatic resections.