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©The Author(s) 2022.
World J Clin Cases. Jul 16, 2022; 10(20): 6855-6864
Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.6855
Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.6855
Table 1 Comparison of patient clinico-pathological characteristics according to transection methods
| Characteristics | CUSA (n = 40) | Water jet (n = 24) | P value | ||
| Pre-operative | |||||
| Age (yr) | 72 (36-87) | 73 (54-83) | 0.588 | ||
| Sex (male/female) | 28/12 | 15/9 | 0.589 | ||
| BMI (kg/m2) | 22.5 (16.0-28.0) | 22.5 (16.1-44.9) | 0.782 | ||
| ASA-PS (1/2/3/4) | 2/29/9/0 | 0/15/8/1 | 0.290 | ||
| Medical history of DM (yes/no) | 11/29 | 9/15 | 0.419 | ||
| Chemical examination of blood | |||||
| Creatine (mg/dL) | 0.72 (0.19-1.32) | 0.78 (0.48-8.10) | 0.244 | ||
| Albumin (g/dL) | 4.15 (3.10-4.80) | 4.15 (3.50-4.90) | 0.895 | ||
| Total bilirubin (mg/dL) | 0.75 (0.20-2.30) | 0.70 (0.20-1.20) | 0.198 | ||
| Aspartate transaminase (IU/L) | 25 (14-134) | 24 (9-52) | 0.546 | ||
| Alanine transaminase (IU/L) | 22 (10-125) | 21 (9-50) | 0.593 | ||
| Platelet (× 105/μL) | 19 (8.8-84) | 23 (10.9-93) | 0.204 | ||
| Prothrombin time (%) | 95.6 (49.1-127.5) | 99.7 (64.9-112.3) | 0.375 | ||
| ICG-R15 (%) | 12 (3-27) | 12.5 (2-29) | 0.722 | ||
| ICG (K) | 0.15 (0.06-0.24) | 0.15 (0.10-0.25) | 0.543 | ||
| Child-Pugh grade (5/6/7 or more) | 34/6/0 | 22/2/0 | 0.699 | ||
| Liver damage (A/B/C) | 39/1/0 | 23/1/0 | 0.999 | ||
| Intra-operative | |||||
| Operative procedure | |||||
| Approach (open/laparoscopic) | 24/16 | 24/0 | < 0.001 | ||
| Hr (0 + S, 1, 2) | 23/7/10 | 8/8/8 | 0.151 | ||
| Extrahepatic bile duct resection (yes/no) | 6/34 | 1/23 | 0.241 | ||
| Operation time (min) | 235 (76-980) | 298 (187-543) | 0.061 | ||
| Blood loss (mL) | 227.5 (0-1820) | 432 (95-1165) | 0.047 | ||
| Post-operative | |||||
| Clavien Dindo classification (0 or I/II/III/IV) | 32/4/4/0 | 14/3/7/0 | 0.118 | ||
| Biliary fistula grade (none or A/B/C) | 38/2/0 | 22/2/0 | 0.627 | ||
| Blood transfusion (include intraoperative) | |||||
| Red blood cell (yes/no) | 1/39 | 2/22 | 0.551 | ||
| Fresh frozen plasma (yes/no) | 5/35 | 7/17 | 0.113 | ||
| Highest value of blood examination | |||||
| Aspartate transaminase (IU/L) | 368 (40-1653) | 188 (37-1084) | 0.315 | ||
| Alanine transaminase (IU/L) | 279.5 (37-2026) | 147 (33-1236) | 0.241 | ||
| In hospital mortality | 0 | 0 | NA | ||
| Post-operative hospital stay (d) | 8 (5-57) | 8.5 (6-190) | 0.949 | ||
| Histological diagnosis | 0.028 | ||||
| Hepatocellular carcinoma (%) | 18 (45) | 12 (50) | |||
| Intrahepatic cholangiocarcinoma (%) | 1 (2.5) | 6 (25) | |||
| Combined hepatocellular and cholangiocarcinoma (%) | 1 (2.5) | 1 (4.2) | |||
| Bile duct cancer (%) | 7 (30) | 0 (0) | |||
| Metastatic cancer (%) | 12 (2.5) | 4 (16.7) | |||
| Other (benign lesion) (%) | 1 (17.5) | 1 (4.2) | |||
| F (0, 1 or 2/3 or 4) | 28/12 | 18/6 | 0.778 | ||
Table 2 Comparison of computed tomography values according to transection methods
| Post-operative CT values | CUSA (n = 40) | Water jet (n = 24) | P value |
| Sum of dissection length (mm) | 95.3 (21.5-233.9) | 106 (50.6-236.1) | 0.081 |
| Sum of denaturation area (mm2) | 522 (109.5-1242) | 324 (93.6-1529) | 0.059 |
| Denaturation index (denaturation thickness, mm) | 5.8 (0.7-11.1) | 3.3 (1.7-10.4) | < 0.001 |
- 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