Randomized Comparative Study between Using Harmonic Scalpel versus Cavitron Ultrasonic Surgical Aspirator with Bipolar Cautery in Living Donor Hepatectomy for Living Donor Liver Transplantation
Semary, M., Saber, H., Mohamed, M., Abdelaal, A., Mansour, K. (2022). Randomized Comparative Study between Using Harmonic Scalpel versus Cavitron Ultrasonic Surgical Aspirator with Bipolar Cautery in Living Donor Hepatectomy for Living Donor Liver Transplantation. EKB Journal Management System, 15(2), 125-131. doi: 10.21608/asjs.2022.246367
Mohammed Kamal Abd Elwahed Semary; Hatem Sayed Saber; Mostafa Abdo Mohamed; Amr Ahmed Abdelaal; Khaled Zaky Mansour. "Randomized Comparative Study between Using Harmonic Scalpel versus Cavitron Ultrasonic Surgical Aspirator with Bipolar Cautery in Living Donor Hepatectomy for Living Donor Liver Transplantation". EKB Journal Management System, 15, 2, 2022, 125-131. doi: 10.21608/asjs.2022.246367
Semary, M., Saber, H., Mohamed, M., Abdelaal, A., Mansour, K. (2022). 'Randomized Comparative Study between Using Harmonic Scalpel versus Cavitron Ultrasonic Surgical Aspirator with Bipolar Cautery in Living Donor Hepatectomy for Living Donor Liver Transplantation', EKB Journal Management System, 15(2), pp. 125-131. doi: 10.21608/asjs.2022.246367
Semary, M., Saber, H., Mohamed, M., Abdelaal, A., Mansour, K. Randomized Comparative Study between Using Harmonic Scalpel versus Cavitron Ultrasonic Surgical Aspirator with Bipolar Cautery in Living Donor Hepatectomy for Living Donor Liver Transplantation. EKB Journal Management System, 2022; 15(2): 125-131. doi: 10.21608/asjs.2022.246367

Randomized Comparative Study between Using Harmonic Scalpel versus Cavitron Ultrasonic Surgical Aspirator with Bipolar Cautery in Living Donor Hepatectomy for Living Donor Liver Transplantation

Ain Shams Journal of Surgery
Volume 15, Issue 2, July 2022, Pages 125-131    PDF (268.05 K)
Document Type: Original Article
DOI: 10.21608/asjs.2022.246367
Authors
Mohammed Kamal Abd Elwahed Semary1; Hatem Sayed Saber2; Mostafa Abdo Mohamed3; Amr Ahmed Abdelaal4; Khaled Zaky Mansour5
1General Surgery Specialist, Nasser Institute of Health and Research, Egypt
2Associate Professor of General Surgery, Faculty of Medicine, Ain Shams University, Egypt
3Professor of General Surgery, Faculty of Medicine, Ain Shams University, Egypt
4.Professor of General Surgery, Faculty of Medicine, Ain Shams University, Egypt
5..Professor of General Surgery, Faculty of Medicine, Ain Shams University, Egypt
Abstract
Background: Liver donation is a respectable human gift. It is essential that complications should be minimized as
much as possible and must be safely performed.
Aim of the work: To evaluate feasibility and safety of using CUSA for liver resection in living donor liver
transplantation (LDLT) in comparison with harmonic scalpel.
Patients and methods: This prospective study included 40 consecutive donors for LDLT held at Nasser Institute
and Air Force Specialized Hospital during the period from September 2017 to September 2018.
Results: Harmonic scalpel significantly reduced operative time (p=0.000) with a reduced blood loss (p=0.016),
however it caused higher rate of biliary leakage (40% vs 15% respectively). On the other hand, CUSA showed
lower bile leak leading to shorter hospital stay (p=0.000).
Conclusion: Although harmonic scalpel is a faster method, CUSA is more effective and safer with a lower
complication rate despite being cumbersome and need a longer learning curve.
Keywords
Harmonic Scalpel; CUSA; liver resection; LDLT
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