Ultrasonic Dissection In Resection Of Hepatocellular-Carcinoma

An ultrasonic dissector has been used in the resection of liver tumors and was found to be safe and efficient in noncirrhotic patients, Thirty-one (cirrhosis, 61%) liver resections for hepatoma treated with ultrasonic dissector were compared to 39 (cirrhosis, 74%) resections treated with finger fracture, We found that patients treated with an ultrasonic dissector versus those treated by finger fracture had less blood loss (especially in cirrhotic liver), 836+/-593 cc vs 1348+/-1226 cc, more operative time, 337.6+/-100.5 min vs 197+/-92.8 min, more days of hospital stay 19.1+/-12.8 days vs 11.5+/-5.6 days and more days of removal of drains, 14.9+/-11.7 days vs 10.2+/-6.4 days. The morbidity, mortality, amount of blood transfusion and amount of drainage were quite similar between two groups.