Luo Fangbiao,Du Chengyou.Cut-ultrasound aspiration combined with bipolar electric coagulation vs radiofrequency coagulation device in liver resection: a clinical comparison[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(04):371-374.
Luo Fangbiao,Du Chengyou.Cut-ultrasound aspiration combined with bipolar electric coagulation vs radiofrequency coagulation device in liver resection: a clinical comparison[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(04):371-374.DOI:
Cut-ultrasound aspiration combined with bipolar electric coagulation vs radiofrequency coagulation device in liver resection: a clinical comparison
Objective To compare the advantages and disadvantages of cut-ultrasound aspiration (CUSA) combined with bipolar electric coagulation with radiofrequency coagulation in liver resection. Methods Clinical data of 108 patients who received liver resection in our hospital from January 2012 to December 2013 were collected and retrospectively analyzed. These patients were treated by CUSA combined with bipolar electric coagulation (CUSA group
n=53) or radiofrequency coagulation (RFA group
n=55). The portal vein blocking rate
operation time
intraoperative blood loss
blood transfusion rate
postoperative liver function
postoperative complications and postoperative hospitalization duration were compared between the 2 groups. The measured data were analyzed by student’s t test
and the enumeration data were analyzed by Chi-squan test. Results No patient died during the operation. The radiofrequency coagulation formed a melting solidification in 1.5 to 2 cm in liver resection
however
the thickness of liver tissue damage section was about 0.5 cm by CUSA in liver resection. The portal vein blocking rate
operation time
intraoperative blood loss
and blood transfusion rate of the RFA group were significantly lower than those of the CUSA group (P0.05). There were no differences in the postoperative liver function
postoperative complications and postoperative hospitalization duration between the 2 groups (P0.05). Conclusion Application of the radiofrequency coagulation and CUSA in liver resection is safe and effective. But each has its advantages and disadvantages.