Hepatic retractor in an ex vivo model
Acta cir. bras
;
33(11): 975-982, Nov. 2018. tab, graf
Article
Dans Anglais
| LILACS
| ID: biblio-973472
ABSTRACT
Abstract Purpose:
To discuss the use of models of hepatic retraction by laparoscopy, to present a new Hepatic Retractor (HR) and to evaluate its practicality, efficacy and safety in Esophageal Hiatus Exposure (EHE).Methods:
Experimental cross - sectional study with a quantitative character. It was carried out in the Laboratory of Health Training of Christus University Center. The sample consisted of 12 livers of adult pigs weighing between 30 and 45 kg. A circular-shaped HR, 5 cm diameter and deformable materials was developed with a polypropylene cloth, metallic guide wire, epidural needle plastic guide and nylon string. The practicality of HR management was measured by the time required to use the instrument, efficacy by exposure to the operative field and safety by macroscopic assessment of liver damage.Results:
The average time to complete the procedure was 3.24 minutes and reached less than 2 minutes after 12 repetitions. In eight experiments the maximum degree of EHE was obtained. No macroscopic lesions were observed.Conclusion:
The use of HR described can broaden the operative field, without causing macroscopic liver lesions and prolonging the surgical time.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Instruments chirurgicaux
/
Laparoscopie
/
Foie
Type d'étude:
Études d'évaluation
/
Étude observationnelle
/
Étude de prévalence
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Animaux
langue:
Anglais
Texte intégral:
Acta cir. bras
Thème du journal:
Chirurgie générale
/
Procedimentos Cir£rgicos Operat¢rios
Année:
2018
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Centro Universitário Christus/BR
/
Hospital Universitário Walter Cantídio/BR
/
UNICHRISTUS/BR
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