Item type |
学内発行雑誌 / Departmental Bulletin Paper(1) |
公開日 |
2016-12-02 |
タイトル |
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タイトル |
Efficacy and Safety of an Ultrasonically Activated Device for Sealing the Bile Ducts During Liver Resection |
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言語 |
en |
言語 |
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言語 |
eng |
資源タイプ |
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資源タイプ |
departmental bulletin paper |
著者 |
AOKI, Takeshi
MURAKAMI, Masahiko
KOIZUMI, Tomotake
ENAMI, Yuta
KOIKE, Reiko
FUJIMORI, Akira
KUSANO, Tomokazu
MATSUDA, Kazuhiro
YAMADA, Kosuke
NOGAKI, Koji
WADA, Yusuke
HAKOZAKI, Tomoki
TOMIOKA, Kodai
GOTO, Satoru
YOSHITAKE, Osamu
WATANABE, Makoto
OTSUKA, Koji
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書誌情報 |
The Showa University journal of medical sciences
巻 27,
号 3,
p. 185-192,
発行日 2015-09
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抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
The use of ultrasonically activated devices (USADs) in hepatic resections may be associated with an increased rate of complications, such as postoperative bile leaks. Nonetheless, the safety of USADs for sealing bile ducts during liver surgery has not yet been established. The purpose of this study was to assess the efficacy of a USAD for sealing bile ducts. In animal experiments, the common bile duct of ten anesthetized dogs was individually occluded using a USAD. Additionally, using the prospective liver surgery database from a single institution, we identified 45 consecutive patients who underwent hepatic resection using a USAD (USAD group) and 45 similar patients who underwent hepatic resection without the use of a USAD (NUSAD group). In the occluded and harvested canine bile ducts, the mean burst pressure was 280mmHg, and the lumen of the bile duct was completely sealed morphologically. In the clinical study, there was no significant difference in postoperative mortality or complications between the two groups, and biliary leakage was observed in only one patient (0.7%) in the USAD group. These data demonstrate that the USAD is a safe, efficient, and practical instrument for use during liver surgery to achieve complete hemobiliary stasis. |
DOI |
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関連タイプ |
isIdenticalTo |
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関連識別子 |
10.15369/sujms.27.185 |
出版者 |
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出版者 |
Showa University Society |
ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
0915-6380 |
出版タイプ |
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出版タイプ |
VoR |