Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (5): 940-942.doi: 10.3969/j.issn.1673-8225.2011.05.044

Previous Articles     Next Articles

Application of cavitron ultrasonic surgical aspirator and argon plasma coagulation in living-donor liver transplantation

Wu Shu-yuan, Zhang Sheng-ning, Li Zhu, Liu Jing, Cao Hai-ying, Li Lai-bang, Zhao Yong-heng, Liang Yu, Ran Jiang-hua, Li Li   

  1. First Department of Hepato-biliary-pancreatic Surgery, the First People’ s Hospital of Kunming and the Ganmei Affiliated Hospital of Kunming Medical University, Kunming  650011, Yunnan Province, China
  • Received:2010-11-01 Revised:2010-12-17 Online:2011-01-29 Published:2011-01-29
  • Contact: Ran Jiang-hua, Professor, Master's supervisor, First Department of Hepato-biliary-pancreatic Surgery, the First People’s Hospital of Kunming and the Ganmei Affiliated Hospital of Kunming Medical University, Kunming 650011, Yunnan Province, China
  • About author:Wu Shu-yuan, Attending physician, First Department of Hepato-biliary-pancreatic Surgery, the First People’ s Hospital of Kunming and the Ganmei Affiliated Hospital of Kunming Medical University, Kunming 650011, Yunnan Province, China lqzkm@163.com

PDF

449

Abstract:

BACKGROUND: Safety of donors in living-donor liver transplantation (LDLT) has aroused great attention due to complex surgery and high specification. Accordingly, how to minimize hemorrhage and light damage plays a key role in transplantation. 
OBJECTIVE: To discuss advantages of utility of cavitron ultrasonic surgical aspirator (CUSA) and argon plasma coagulation (APC) in the living-donor liver transplantation.
METHODS: Totally 26 cases LDLT which used CUSA and APC in operations were retrospectively analyzed; in these cases, 13 cases used right lobe graft, 9 cases used left lobe graft, and 4 cases were double-donor living donor liver transplantation. Ages of donors ranged from 22 to 63 years. By observing blood loss volumes in operations and donors’s complications, the advantages of CUSA and APC usage in donors’s hepatectomies in LDLT were concluded.
RESULTS AND CONCLUSION: There was no donor died, and no donor received a second operation because of bleeding or other reasons. Only 1 donor presented with biliary fistula after operation, and recovered by complete drainage. The average blood loss volume in right lobe hepatectomies was 683 mL, mean volume of blood transfusion was 820 mL. Mean weight of grafts was 530 g. Usage of CUSA and APC in the LDLT not only reduce operation time, but also minimize side injury of hepatectomy. Meanwhile, incidence rate of postoperative complications can be reduced. Therefore, usage of CUSA combined with APC in LDLT, especially in donors’ hepatectomy, is safe and effective.

CLC Number: