@article{Bayramov1996b, abstract = {Object. To evaluate efficacy of the Cavitron Ultrasonic Surgical Aspirator (CUSA) for resection of normal and fibrotic livers in comparison with conventional crashing technique. Methods. This study comprised 89 patients, who underwent liver resection. 43 patients operated on the crushing technique whereas, 46 patients operated on the CUSA. In the patients with both normal and fibrotic livers the comparison between the two techniques were made by criteria, which include blood loss, operation time, necrosis in the parenchyma, hepatic functions, complications and mortality rate. Results. In the patients with normal livers (54 patients), compared with crushing technique, the CUSA significantly decreased blood loss ( from 1412+-40 ml to 1090+-37 ml in lobectomies and from 545+-37 ml to 275 +-29 ml in segmentectomies respectively), operation time (from 219+-11 min. to 124+-10 min. in lobectomies and from 124+-6 min. to 82+-5 min. in segmentectomies respectively), but differences in the ALT, AST, albumin, bilirubin levels were not statistically significant. In the patients with fibrotic livers the CUSA decreased blood loss (from 1750+-51 ml to 1332+-43 ml in lobectomies and from 735+-32 ml to 412+-29 ml in segmentectomies), whereas differences on the operation time, ALT, AST, albumin, bilirubin levels between two techniques were not statistically significant. Complication and mortality rates were 18,6% and 9,3% in the crushing technique group and 10,8% and 4,3% in the CUSA group, respectively. Conclusion. Compared with the crushing techniques, the CUSA decrease blood loss, complication and mortality rate and don't increase a necrosis of the liver parenchyma in the patients with the both normal and cirrhotic livers. Whereas, differ from that in normal patients, the CUSA don't decrease operation time in cirrhotic patients.}, annote = {Qaraciyər rezeksiyası olunan 89 xəstənin nəticələrinə g{\"{o}}rə, əzmə texnikası ilə m{\"{u}}qayisədə CUSA həm normal, həm də sirrotik qaraciyərdə qanaxma miqdarını, ağırlaşmalrı və letallığı azaldır, lakin sirrotik qaraciyərlərdə əməliyyat m{\"{u}}ddətini azaltmır.}, author = {Bayramov, NY and Demirci, S and Akoğlu, M and G{\"{u}}ndoğdu, H and Karaayvaz, M and Beşirov, EB}, file = {:C\:/Users/nurub/Documents/NuruBay 2017/Məqalərər və tezislər/{\c{C}}ap olunmuş məqalələr/Mendeleydə olanlar/M-1996-cusa-for-resection-cirrhotic-and-normal-livers.pdf:pdf;:C\:/Users/nurub/Documents/NuruBay 2017/Məqalərər və tezislər/{\c{C}}ap olunmuş məqalələr/Mendeleydə olanlar/M-1996-cusa-for-resection-cirrhotic-and-normal-livers.DOC:DOC}, journal = {International Islamic Medical Journal}, keywords = {CUSA,Liver resection,Mən məqalə,Qc rez,cavitron ultrasonic surgical dissector (CUSA),cirrhosis,crushing technique}, mendeley-tags = {CUSA,Mən məqalə,Qc rez}, number = {3-4}, pages = {12--19.}, title = {{Cavitron ultrasonic surgical aspirator (CUSA) for resection cirrhotic and normal livers.}}, url = {http://bck.az/elm-ve-tedqiqat/meqaleler/m-1996-cusa-for-resection-cirrhotic-and-normal-livers}, volume = {1}, year = {1996} }