Lifrarúrnám vegna æxla í lifur : reynsla af notkun hljóðbylguhnífs
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Hepatic tumours, both primaries and secondaries, are common. They are seldom operable, but curative resections are sometimes possible. The aims of the study were to present the result and experience of l...
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Læknafélag Íslands, Læknafélag Reykjavíkur
2009
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Online Access: | http://hdl.handle.net/2336/73533 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/73533 2023-05-15T16:52:20+02:00 Lifrarúrnám vegna æxla í lifur : reynsla af notkun hljóðbylguhnífs Hepatic resections. The results of using CUSA Drífa Freysdóttir Jón Níelsson Jónas Björn Magnússon 2009-07-13 http://hdl.handle.net/2336/73533 is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 1994, 80(9):465-70 0023-7213 http://hdl.handle.net/2336/73533 Læknablaðið Liver Diseases Hepatectomy Liver Neoplasms Article 2009 ftlandspitaliuni 2022-05-29T08:21:21Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Hepatic tumours, both primaries and secondaries, are common. They are seldom operable, but curative resections are sometimes possible. The aims of the study were to present the result and experience of liver operations (primaries, secondaries and benign lesions) and to present the result of using CUSA in these operations. A retrospective study was carried out to evaluate the result of elective hepatic resections in Iceland between 1986-1993 with the aid of CUSA. The type of tumour and resection, operative bleeding, transfusions, hospital stay and complications were noted. Kaplan-Meyer lifetable was used to estimate survival. Fourteen patients underwent fifteen operations, followed by six complications which resulted in five reoperations and one percutaneous drainage. Bleeding was 3000 ml (median, range 350-10.600 ml), transfusion was 3000 ml (median, range 0-12.000 ml) and hospital stay was 24 days (range 9-108 days). There was no operative mortality. Four of nine patients operated for secondaries are living (44%), 15, 41, 46 og 72 months postoperatively (two with recurrence). Two patients were operated for hepatomas, and one of those is alive 86 months postoperatively and is considered to be cured. We conclude that hepatic resection can be carried out in small centers with comparable results to large published series. The ultrasonic scalpel CUSA seems to make the resection tecnically easier and to diminish the amount of bleeding. Æxli í lifur, bæði frumæxli og meinvörp, eru algeng. Þótt sjaldnast séu þau skurötæk, eru læknandi aðgerðir stundum mögulegar. Tilgangur rannsóknar okkar var tvíþættur, annars vegar að gera grein fyrir árangri og reynslu af aðgerðum á lifur vegna frumæxla og meinvarpa og hins vegar að kynna árangur af notkun hljóðbylgjuhnífs (CUSA). Gerð var afturskyggn rannsókn á öllum sjúklingum, sem gengust undir valaðgerð (elective) á lifraræxli með hjálp hljóðbylgjuhnífs á Borgarspítala og ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Hjálp ENVELOPE(-19.857,-19.857,64.113,64.113) Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Liver Diseases Hepatectomy Liver Neoplasms |
spellingShingle |
Liver Diseases Hepatectomy Liver Neoplasms Drífa Freysdóttir Jón Níelsson Jónas Björn Magnússon Lifrarúrnám vegna æxla í lifur : reynsla af notkun hljóðbylguhnífs |
topic_facet |
Liver Diseases Hepatectomy Liver Neoplasms |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Hepatic tumours, both primaries and secondaries, are common. They are seldom operable, but curative resections are sometimes possible. The aims of the study were to present the result and experience of liver operations (primaries, secondaries and benign lesions) and to present the result of using CUSA in these operations. A retrospective study was carried out to evaluate the result of elective hepatic resections in Iceland between 1986-1993 with the aid of CUSA. The type of tumour and resection, operative bleeding, transfusions, hospital stay and complications were noted. Kaplan-Meyer lifetable was used to estimate survival. Fourteen patients underwent fifteen operations, followed by six complications which resulted in five reoperations and one percutaneous drainage. Bleeding was 3000 ml (median, range 350-10.600 ml), transfusion was 3000 ml (median, range 0-12.000 ml) and hospital stay was 24 days (range 9-108 days). There was no operative mortality. Four of nine patients operated for secondaries are living (44%), 15, 41, 46 og 72 months postoperatively (two with recurrence). Two patients were operated for hepatomas, and one of those is alive 86 months postoperatively and is considered to be cured. We conclude that hepatic resection can be carried out in small centers with comparable results to large published series. The ultrasonic scalpel CUSA seems to make the resection tecnically easier and to diminish the amount of bleeding. Æxli í lifur, bæði frumæxli og meinvörp, eru algeng. Þótt sjaldnast séu þau skurötæk, eru læknandi aðgerðir stundum mögulegar. Tilgangur rannsóknar okkar var tvíþættur, annars vegar að gera grein fyrir árangri og reynslu af aðgerðum á lifur vegna frumæxla og meinvarpa og hins vegar að kynna árangur af notkun hljóðbylgjuhnífs (CUSA). Gerð var afturskyggn rannsókn á öllum sjúklingum, sem gengust undir valaðgerð (elective) á lifraræxli með hjálp hljóðbylgjuhnífs á Borgarspítala og ... |
format |
Article in Journal/Newspaper |
author |
Drífa Freysdóttir Jón Níelsson Jónas Björn Magnússon |
author_facet |
Drífa Freysdóttir Jón Níelsson Jónas Björn Magnússon |
author_sort |
Drífa Freysdóttir |
title |
Lifrarúrnám vegna æxla í lifur : reynsla af notkun hljóðbylguhnífs |
title_short |
Lifrarúrnám vegna æxla í lifur : reynsla af notkun hljóðbylguhnífs |
title_full |
Lifrarúrnám vegna æxla í lifur : reynsla af notkun hljóðbylguhnífs |
title_fullStr |
Lifrarúrnám vegna æxla í lifur : reynsla af notkun hljóðbylguhnífs |
title_full_unstemmed |
Lifrarúrnám vegna æxla í lifur : reynsla af notkun hljóðbylguhnífs |
title_sort |
lifrarúrnám vegna æxla í lifur : reynsla af notkun hljóðbylguhnífs |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2009 |
url |
http://hdl.handle.net/2336/73533 |
long_lat |
ENVELOPE(-19.857,-19.857,64.113,64.113) ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
Hjálp Smella |
geographic_facet |
Hjálp Smella |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.laeknabladid.is Læknablaðið 1994, 80(9):465-70 0023-7213 http://hdl.handle.net/2336/73533 Læknablaðið |
_version_ |
1766042480585736192 |