ISSN |
2307-8960 (online) |
Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. |
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Surgery |
Manuscript Type |
Observational Study |
Article Title |
Influence of the water jet system vs cavitron ultrasonic surgical aspirator for liver resection on the remnant liver
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Manuscript Source |
Unsolicited Manuscript |
All Author List |
Takehiko Hanaki, Ayumi Tsuda, Teppei Sunaguchi, Keisuke Goto, Masaki Morimoto, Yuki Murakami, Kyoichi Kihara, Tomoyuki Matsunaga, Manabu Yamamoto, Naruo Tokuyasu, Teruhisa Sakamoto, Toshimichi Hasegawa and Yoshiyuki Fujiwara |
ORCID |
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Funding Agency and Grant Number |
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Corresponding Author |
Takehiko Hanaki, MD, PhD, Assistant Professor, Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, Tottori University Faculty of Medicine, 36-1, Nishi-Cho, Yonago 683-8504, Tottori, Japan. hanaki-ttr@umin.ac.jp |
Key Words |
Water jet; Cavitron ultrasonic surgical aspirator; Energy device; Hepatic parenchymal dissection; Liver resection |
Core Tip |
We evaluated the denaturation degree of the liver dissection plane on computed tomography (CT) scan and compared the cavitron ultrasonic surgical aspirator and water jet (WJ) method. The perioperative outcomes were almost similar. However, the WJ method had a lower loss of contrast effect on the liver dissection plane. Moreover, we found a positive correlation between the denaturation degree on CT scans and the postoperative peak of hepatic enzymes. The reduced contrast effect on CT scan reflects thermal degeneration during hepatectomy, and the WJ method may be more advantageous in preserving the remnant functioning liver volume during hepatectomy. |
Publish Date |
2022-07-05 01:22 |
Citation |
Hanaki T, Tsuda A, Sunaguchi T, Goto K, Morimoto M, Murakami Y, Kihara K, Matsunaga T, Yamamoto M, Tokuyasu N, Sakamoto T, Hasegawa T, Fujiwara Y. Influence of the water jet system vs cavitron ultrasonic surgical aspirator for liver resection on the remnant liver. World J Clin Cases 2022; 10(20): 6855-6864 |
URL |
https://www.wjgnet.com/2307-8960/full/v10/i20/6855.htm |
DOI |
https://dx.doi.org/10.12998/wjcc.v10.i20.6855 |