All surgical resection procedures were performed following the techniques described in our previous study [10 (link)]. Briefly, routine abdominal exploration was carefully performed to evaluate the extent of the tumor and to exclude extrahepatic metastases. After adequate mobilization of the liver, we used intraoperative ultrasound (ALOKA SSD-5500, Tokyo, Japan) to assess the number of lesions and tumor size, the presence of MVI, and the extent of resection. During tumor removal, the liver parenchyma was separated using the Cavitron Ultrasonic Surgical Aspirator (Integra LifeSciences CUSA Excel, Plainsboro, NJ, USA), and the involved vessels were ligated. The Pringle maneuver was also applied to occlude blood inflow to the liver.
Cusa excel
Manufactured by Integra LifeSciences
Sourced in United States
The CUSA Excel is a surgical tissue aspiration and dissection device designed for use in neurosurgical procedures. It features a handpiece with a footswitch control and provides continuous suction and irrigation capabilities. The device is intended to assist in the removal of soft tissue and fluid from the surgical site.
Automatically generated - may contain errors
Lab products found in correlation
6 protocols using cusa excel
1
Surgical Resection of Liver Lesions
2
Meticulous Dissection of Ependymal Lesions
Check if the same lab product or an alternative is used in the 5 most similar protocols
+ Expand
Removal of the lesion was obtained by paying special attention with respect to the dissection plane between the lesion and the ependymal layer. On the medial wall, it is important to identify the choroid glomus and the calcar avis. The latter approximates the location of the calcarine fissure. Neuronavigation could help in the identification of these structures. Extra-axial lesions were internally debulked by Ultrasonic aspirator (CUSA Excel, Integra LifeSciences, Plainsboro, New Jersey), initially set at low aspiration and fragmentation power (25–30%) and high tissue selectivity (3–4) and subsequently modified according to the tumor’s characteristics.
3
Open Hepatectomy with CUSA and Ultrasonic Coagulation
Check if the same lab product or an alternative is used in the 5 most similar protocols
+ Expand
Open hepatectomy was routinely performed through a midline or a midline and subcostal incision, with thoracotomy added if needed. Hepatectomy was performed using an ultrasonic surgical aspirator (CUSA Excel; Integra LifeSciences, Plainsboro, NJ, USA) and an ultrasonic coagulation and incision apparatus chosen by the attending surgeon.
4
Surgical Approach for Gallbladder Cancer
Check if the same lab product or an alternative is used in the 5 most similar protocols
+ Expand
All the patients underwent a preoperative detailed workup including tumor marker assessment and abdominal computerized tomography, and a surgery was planned for each patient with the suspicion of GBC. An open approach with a “hockey-stick” incision was used in each patient. We routinely perform regional lymph node dissection, but we do not perform para-aortic lymph node dissection or sampling. Generous Kocher maneuver is performed, and regional lymph nodes were dissected. The gallbladder was resected together with the segment 4 and 5 using a cavitary ultrasonic aspirator (CUSA excel, Integra). The distal surgical margin was routinely studied. If invasion to neighboring tissues was suspected, concomitant bile duct and duodenal wall resection was also performed. In cases with extrahepatic biliary tree resection, hepaticojejunostomy involving Roux-en-Y Limb was performed. Sump drainage of the sub-hepatic area was performed, and the operation was terminated.
5
Surgical Approach for Hepatic Resection
Check if the same lab product or an alternative is used in the 5 most similar protocols
+ Expand
The patients were under the supine position after general anesthesia. Usually, a midline or reverse-L incision was performed. The surgical method was not significantly different from that of PLLLS. The left triangular ligaments and the coronary ligaments were detached using a bovie, and the parenchymal dissection was performed using an ultrasonic aspirator (CUSA Excel; Integra Lifesciences Corporation). Likewise, the Pringle maneuver was usually performed.
6
Minimally Invasive Hepatic Resection
Check if the same lab product or an alternative is used in the 5 most similar protocols
+ Expand
A narrative overview on our PLDRH surgical technique was previously published by one of our surgeons13 (link). Briefly, five trocar ports were placed as follows: one 12-mm port receiving a 30° optic device at the umbilicus; one 12-mm operative trocar each at the right midaxillary line and the midline; and two 5-mm trocars for instrumental assistance, one at the left midclavicular area and one in the subxiphoid region. Ultrasound observation followed by parenchymal sectioning was performed as described for ODRH. Parenchymal sectioning proceeded with the aid of an ultrasonic dissector (SonicisionTM; Medtronic, Minneapolis, MN, USA) and a cavitron ultrasonic surgical aspirator (CUSA® Excel; Integra LifeSciences, Plainsboro, NJ, USA). The major hepatic veins were saved for reconstruction. After completion of parenchymal dissection, the remnant bile duct stump was sutured. A Pfannenstiel incision of length 12–14 cm was created in the suprapubic area and the graft was retrieved in a plastic bag prior to perfusion.
About PubCompare
Our mission is to provide scientists with the largest repository of trustworthy protocols and intelligent analytical tools, thereby offering them extensive information to design robust protocols aimed at minimizing the risk of failures.
We believe that the most crucial aspect is to grant scientists access to a wide range of reliable sources and new useful tools that surpass human capabilities.
However, we trust in allowing scientists to determine how to construct their own protocols based on this information, as they are the experts in their field.
Ready to get started?
Sign up for free.
Registration takes 20 seconds.
Available from any computer
No download required
Revolutionizing how scientists
search and build protocols!