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EBSCO

https://doi.org/10.14300/mnnc.2019.14076

Technique and prevention of postoperative complications after liver resections

[Original research] [Surgery]
Robert Mustafin; Vladimir Esin; Samvel Antonyan; Roman Rudyk; Yulia Molchanova;

The analysis of the effectiveness of various methods of dissecting the parenchyma and treating the wound surface of the liver during its anatomical resections in 65 patients was carried out: «Kelly method» – the first group (29 patients), the use of ENSEAL devices – the second group (20 patients) and Sonicision – the third group (16 patients ). For treatment of the wound surface of the liver, monopolar and argon-plasma coagulation were used in various combinations, as well as the application of Tachocomb plates. The duration of the operation, the volume of blood loss, and postoperative complications were assessed. The duration of dissection was the shortest in the first group, intraoperative blood loss – in the third group. By the nature and severity of postoperative complications, differences between groups of patients were not identified.

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Keywords: liver resection, parenchymal dissection