A CONTROLLED-STUDY OF THE ARGON BEAM COAGULATOR FOR PARTIAL NEPHRECTOMY

被引:50
作者
HERNANDEZ, AD
SMITH, JA
JEPPSON, KG
TERREROS, DA
机构
[1] UNIV UTAH,CTR HLTH SCI,DEPT SURG,DIV UROL,50 N MED DR,SALT LAKE CITY,UT 84321
[2] UNIV UTAH,CTR HLTH SCI,DEPT PATHOL,DIV ANAT PATHOL,SALT LAKE CITY,UT 84112
关键词
D O I
10.1016/S0022-5347(17)40184-4
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
An argon beam coagulator was evaluated in 25 canine partial nephrectomies to determine its hemostatic capabilities, safety and degree of thermal injury to renal parenchyma. Comparison was made with a control group of seven partial nephrectomies performed by standard technique. In both groups the procedure was performed without renal cooling or clamping on the renal artery. The argon beam coagulator was operated with a power output of 130 watts. Mean operative time for partial nephrectomy was 22 minutes in the control group versus 10 minutes when the argon coagulator was used (p < 0.001). Mean blood loss was 276 cc by standard technique but only 135 cc with the argon coagulator (p < 0.001). A regular eschar with a mean depth of tissue necrosis of 2.4 mm. was observed with the argon coagulator.
引用
收藏
页码:1062 / 1065
页数:4
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