Hepatectomy using SONOCA Ultrasonic Aspiration System: Initial Experience.
Autores
José P. Santos; Carolina Robalo; Marco Pires; Paula Marques; Claúdio Silva, Tiago Sá, Vítor Simões, António Canha, Donzília Silva, Jorge Daniel.
Resumo Introdução
Hepatectomy is the most popular radical treatment for hepatic malignancies which offers resectable patients better survival rates. However, hepatectomy is also associated with numerous complications including bleeding, acute liver failure and bile leakage which can adversely affect survival result and mortality rate. This study aims to explore the short-term results of hepatectomy using the SONOCA ultrasonic aspiration system.
Resumo Métodos
We retrospectively examined data of the 11 first patients who underwent hepatectomy using SONOCA ultrasonic aspiration system at our center from 03/2024 to 10/2024.
Resumo Resultados
The median age was 69±13 years (37-84) and there were 9 males. Patients with hepatocarcinoma accounted for 54% of the cases. Median weight of the surgical specimen was 431.6±393.1g and 64% had lesions >5cm. Final transection surface reinforcement was achieved by Tachoseal (9%), Floseal + Tachoseal + Hemopatch (9%), Floseal (18%) and Floseal + Tachoseal in 64%. Mean total operative time was 220±40 minutes. Median operative blood loss was 300±525 mL. Median post-operative hospital stay was 8±4,8 days. There were 2 post-operative complications: peritonitis requiring surgical exploration and an intra-abdominal abscess.
Resumo Discussão
Hepatectomy using SONOCA ultrasonic aspiration system is safe, effective, allowing a resection with sufficient safety margin and resulting in low complication rates and good survival outcomes.