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, Page 125-131 PDF (268.05 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/asjs.2022.246367 | ||||
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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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