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Experience and outcomes in living donor liver procurement using the water jet scalpel
Author(s) -
Hamaoka Michinori,
Kobayashi Tsuyoshi,
Kuroda Shintaro,
Okimoto Sho,
Honmyo Naruhiko,
Yamaguchi Megumi,
Yamamoto Masateru,
Ohdan Hideki
Publication year - 2019
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1002/jhbp.643
Subject(s) - medicine , procurement , retrospective cohort study , surgery , multivariate analysis , parenchyma , living donor liver transplantation , liver parenchyma , significant difference , cohort , liver transplantation , radiology , transplantation , pathology , marketing , business
Background The aim of the present study was to clarify treatment outcomes of living donor liver procurement using the water jet scalpel ( WJS ). Methods This single‐center, retrospective cohort study included 40 living donors who underwent liver procurement from January 2014 to December 2018. One living donor who underwent posterior segmentectomy was excluded. Clinical data and outcomes after surgery for 20 WJS donors and 19 Cavitron Ultrasonic Surgical Aspirator ( CUSA ) donors were compared. Results Preoperative and excised graft data did not differ significantly between the WJS and CUSA groups. Operation time ( P = 0.025) and parenchymal transection time ( P = 0.007) were significantly shorter in the WJS group. There was no difference between the groups in terms of short‐term outcomes after surgery. Multivariate analysis revealed that WJS offered significant advantages over CUSA in terms of shortening parenchymal transection time ( P = 0.017). Conclusion Living donor liver procurement using WJS contributes to shortening of parenchymal transection time while maintaining the same level of safety as when using CUSA .