Usefulness of the Pinch-Burn-Cut (PBC) technique for recipient hepatectomy in liver transplantation
Korean Journal of Hepato-Biliary-Pancreatic Surgery
; : 13-16, 2012.
Article
em En
| WPRIM
| ID: wpr-208708
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUNDS/AIMS:
Surgical bleeding during recipient hepatectomy is a major concern in liver transplantation (LT). Effective intraoperative control of bleeding is necessary. In the Pinch-Burn-Cut (PBC) technique, a small amount of tissue around the dissection plane is pinched with forceps, electocauterized and gently cut. The present study sought to estimate the usefulness of the PBC technique in LT.METHODS:
Between June 2007 and December 2010, 123 adult cases underwent LT in our center. Of these, 72 involved a recipient hepatectomy using the PBC technique (PBC group). and 51 involved the conventional technique (non-PBC group). Clinical parameters were compared between two groups.RESULTS:
The amount of blood loss and related transfusions were significantly reduced, and the operating time was shorter in the PBC group than in the non-PBC group (p=0.006, p<0.05 and p=0.002, respectively). There was also shorter duration of mechanical ventilation after LT in the PBC group (p=0.017). The incidence of postoperative hemorrhage was lower in the PBC group than in the non-PBC group, but had no statistical significance between two group (19.6% vs. 8.3%, p=0.101).CONCLUSIONS:
Our data suggest that the PBC technique is effective for bleeding control during recipient hepatectomy in LT.Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Respiração Artificial
/
Instrumentos Cirúrgicos
/
Incidência
/
Transplante de Fígado
/
Hemorragia Pós-Operatória
/
Hemorragia
/
Hepatectomia
/
Fígado
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Ano de publicação:
2012
Tipo de documento:
Article