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CLC number: R616.1

On-line Access: 2012-02-29

Received: 2011-03-24

Revision Accepted: 2011-08-31

Crosschecked: 2012-02-13

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Journal of Zhejiang University SCIENCE B 2012 Vol.13 No.3 P.186-191

10.1631/jzus.B1100096


Saline conducted electric coagulation (SCEC): original experience in experimental hepatectomy


Author(s):  Guo-ping Ding, Li-ping Cao, Da-ren Liu, Ri-sheng Que

Affiliation(s):  Department of General Surgery, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China

Corresponding email(s):   cao@zju.edu.cn

Key Words:  Saline, Electric coagulation, Hepatectomy, Hemostasis, Bloodless liver resection


Guo-ping Ding, Li-ping Cao, Da-ren Liu, Ri-sheng Que. Saline conducted electric coagulation (SCEC): original experience in experimental hepatectomy[J]. Journal of Zhejiang University Science B, 2012, 13(3): 186-191.

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author="Guo-ping Ding, Li-ping Cao, Da-ren Liu, Ri-sheng Que",
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%T Saline conducted electric coagulation (SCEC): original experience in experimental hepatectomy
%A Guo-ping Ding
%A Li-ping Cao
%A Da-ren Liu
%A Ri-sheng Que
%J Journal of Zhejiang University SCIENCE B
%V 13
%N 3
%P 186-191
%@ 1673-1581
%D 2012
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1100096

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T1 - Saline conducted electric coagulation (SCEC): original experience in experimental hepatectomy
A1 - Guo-ping Ding
A1 - Li-ping Cao
A1 - Da-ren Liu
A1 - Ri-sheng Que
J0 - Journal of Zhejiang University Science B
VL - 13
IS - 3
SP - 186
EP - 191
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Y1 - 2012
PB - Zhejiang University Press & Springer
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DOI - 10.1631/jzus.B1100096


Abstract: 
Objective: To evaluate the feasibility and superiority of a new coagulating and hemostatic method named “saline conducted electric coagulation (SCEC)”. Methods: The Peng's multifunction operative dissector (PMOD) was modified to enable saline to effuse persistently out of its nib at a constant speed. In a group of six New Zealand rabbits, two hepatic lobes of each rabbits were resected respectively by SCEC and conventional electric coagulation (EC). The features of SCEC were recorded by photo and compared with conventional EC. After 7 d, the coagulating depth was measured in each residual hepatic lobe. Hepatic tissue was dyed by hematoxylin and eosin (HE) and studied under a microscope. Results: The coagulating depth increased with the continuation of SCEC time. Hepatectomies were performed successfully, no rabbit died in the perioperative period. The incisal surface of SCEC was gray-white with no red bleeding point. There was a thick solidified layer at the margin and a thin red-white intermittent layer between the solidified layer and normal hepatic tissue at the vertical section of SCEC. The mean coagulating depth of SCEC was 1.8 cm vs. 0.3 cm of conventional EC. Pathological examination showed a mild inflammatory reaction by SCEC. Conclusions: SCEC is a feasible and safe method for surgical hemostasis. As a new technique for liver resection, SCEC shows better coagulating effect and milder inflammatory reaction than conventional EC. Our study shows bloodless liver resection can also be performed by SCEC, especially for liver malignant tumor.

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