Impact of monopolar radiofrequency coagulation on intraoperative blood loss during liver resection: a prospective randomised controlled trial

PURPOSE: To evaluate the impact of using monopolar thermal coagulation based on radiofrequency (RF) currents on intraoperative blood loss during liver resection. MATERIALS AND METHODS: A prospective randomised controlled trial was planned. Patients undergoing hepatectomy were randomised into two gro...

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Autores: Quesada Diez, Rita, Poves Prim, José Ignacio, Berjano, Enrique J., Vilaplana, Carles, Andaluz, Anna, Moll, Xavier, Dorcaratto, Dimitri, Grande Posa, Luís, Burdío Pinilla, Fernando
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2017
País:España
Recursos:Universitat Pompeu Fabra
Repositório:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/32518
Acesso em linha:http://hdl.handle.net/10230/32518
http://dx.doi.org/10.1080/02656736.2016.1231938
Access Level:Acceso aberto
Palavra-chave:Hemorràgia
Fetge -- Cirurgia
Sang -- Coagulació
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spelling Impact of monopolar radiofrequency coagulation on intraoperative blood loss during liver resection: a prospective randomised controlled trialQuesada Diez, RitaPoves Prim, José IgnacioBerjano, Enrique J.Vilaplana, CarlesAndaluz, AnnaMoll, XavierDorcaratto, DimitriGrande Posa, LuísBurdío Pinilla, FernandoHemorràgiaFetge -- CirurgiaSang -- CoagulacióPURPOSE: To evaluate the impact of using monopolar thermal coagulation based on radiofrequency (RF) currents on intraoperative blood loss during liver resection. MATERIALS AND METHODS: A prospective randomised controlled trial was planned. Patients undergoing hepatectomy were randomised into two groups. In the control group (n = 10), hemostasis was obtained with a combination of stitches, vessel-sealing bipolar RF systems, sutures or clips. In the monopolar radiofrequency coagulation (MRFC) group (n = 18), hemostasis was mainly obtained using an internally cooled monopolar RF electrode. RESULTS: No differences in demographic or clinical characteristics were found between groups. Mean blood loss during liver resection in the control group was more than twice that of the MRFC group (556 ± 471 ml vs. 225 ± 313 ml, p = .02). The adjusted mean bleeding/transection area was also significantly higher in the control group (7.0 ± 3.3 ml/cm2 vs. 2.8 ± 4.0 ml/cm2, p = .006). No significant differences were observed in the rate of complications between the groups. CONCLUSIONS: The findings suggest that the monopolar electrocoagulation created with an internally cooled RF electrode considerably reduces intraoperative blood loss during liver resection.This work was supported by a medical research grant from the Spanish Government (FIS PI080934) and by Spanish “Programa Estatal de Investigación, Desarrollo e Innovación Orientada a los Retos de la Sociedad” under Grant TEC2014–52383-C3-R (TEC2014–52383-C3–1-R and TEC2014–52383-C3–3-R)Taylor & Francis (Routledge)201720172017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/32518http://dx.doi.org/10.1080/02656736.2016.1231938reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésInternational Journal of Hyperthermia. 2017;33(2):135-41info:eu-repo/grantAgreement/ES/1PE/TEC2014-52383-C3-R© 2016 Rita Quesada et al. Published by Informa UK Limited, trading as Taylor & Francis Group.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citedhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/325182026-06-12T07:21:37Z
dc.title.none.fl_str_mv Impact of monopolar radiofrequency coagulation on intraoperative blood loss during liver resection: a prospective randomised controlled trial
title Impact of monopolar radiofrequency coagulation on intraoperative blood loss during liver resection: a prospective randomised controlled trial
spellingShingle Impact of monopolar radiofrequency coagulation on intraoperative blood loss during liver resection: a prospective randomised controlled trial
Quesada Diez, Rita
Hemorràgia
Fetge -- Cirurgia
Sang -- Coagulació
title_short Impact of monopolar radiofrequency coagulation on intraoperative blood loss during liver resection: a prospective randomised controlled trial
title_full Impact of monopolar radiofrequency coagulation on intraoperative blood loss during liver resection: a prospective randomised controlled trial
title_fullStr Impact of monopolar radiofrequency coagulation on intraoperative blood loss during liver resection: a prospective randomised controlled trial
title_full_unstemmed Impact of monopolar radiofrequency coagulation on intraoperative blood loss during liver resection: a prospective randomised controlled trial
title_sort Impact of monopolar radiofrequency coagulation on intraoperative blood loss during liver resection: a prospective randomised controlled trial
dc.creator.none.fl_str_mv Quesada Diez, Rita
Poves Prim, José Ignacio
Berjano, Enrique J.
Vilaplana, Carles
Andaluz, Anna
Moll, Xavier
Dorcaratto, Dimitri
Grande Posa, Luís
Burdío Pinilla, Fernando
author Quesada Diez, Rita
author_facet Quesada Diez, Rita
Poves Prim, José Ignacio
Berjano, Enrique J.
Vilaplana, Carles
Andaluz, Anna
Moll, Xavier
Dorcaratto, Dimitri
Grande Posa, Luís
Burdío Pinilla, Fernando
author_role author
author2 Poves Prim, José Ignacio
Berjano, Enrique J.
Vilaplana, Carles
Andaluz, Anna
Moll, Xavier
Dorcaratto, Dimitri
Grande Posa, Luís
Burdío Pinilla, Fernando
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Hemorràgia
Fetge -- Cirurgia
Sang -- Coagulació
topic Hemorràgia
Fetge -- Cirurgia
Sang -- Coagulació
description PURPOSE: To evaluate the impact of using monopolar thermal coagulation based on radiofrequency (RF) currents on intraoperative blood loss during liver resection. MATERIALS AND METHODS: A prospective randomised controlled trial was planned. Patients undergoing hepatectomy were randomised into two groups. In the control group (n = 10), hemostasis was obtained with a combination of stitches, vessel-sealing bipolar RF systems, sutures or clips. In the monopolar radiofrequency coagulation (MRFC) group (n = 18), hemostasis was mainly obtained using an internally cooled monopolar RF electrode. RESULTS: No differences in demographic or clinical characteristics were found between groups. Mean blood loss during liver resection in the control group was more than twice that of the MRFC group (556 ± 471 ml vs. 225 ± 313 ml, p = .02). The adjusted mean bleeding/transection area was also significantly higher in the control group (7.0 ± 3.3 ml/cm2 vs. 2.8 ± 4.0 ml/cm2, p = .006). No significant differences were observed in the rate of complications between the groups. CONCLUSIONS: The findings suggest that the monopolar electrocoagulation created with an internally cooled RF electrode considerably reduces intraoperative blood loss during liver resection.
publishDate 2017
dc.date.none.fl_str_mv 2017
2017
2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/32518
http://dx.doi.org/10.1080/02656736.2016.1231938
url http://hdl.handle.net/10230/32518
http://dx.doi.org/10.1080/02656736.2016.1231938
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Journal of Hyperthermia. 2017;33(2):135-41
info:eu-repo/grantAgreement/ES/1PE/TEC2014-52383-C3-R
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Taylor & Francis (Routledge)
publisher.none.fl_str_mv Taylor & Francis (Routledge)
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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