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Analysis of exfoliated gastric carcinoma cells attached on surgical supplies.

Yu XF, Ma YY, Hu XQ, Zhang QF, Ye ZY - Onco Targets Ther (2014)

Bottom Line: Surgical supplies are used to cut, divide, and ligate during surgery, and are not only in close contact with normal tissues, but may also be contaminated by pathological tissues and cells.Highest numbers of cancer cells were found on gauze used to clean the surgical instruments and on the gloves of scrub nurses.The likelihood of finding cancer cells increased with advancing clinical stage of disease, lower differentiation of cancer cells, increasing frequency of use of supplies and extent of contact, and was also associated with the characteristic of surgical supplies.

View Article: PubMed Central - PubMed

Affiliation: Operating Theatre, Zhejiang Provincial People's Hospital, Hangzhou, People's Republic of China.

ABSTRACT
Surgery is considered to have a leading role in the treatment of gastric carcinoma. Surgical supplies are used to cut, divide, and ligate during surgery, and are not only in close contact with normal tissues, but may also be contaminated by pathological tissues and cells. This study sought to determine the presence of exfoliated tumor cells on surgical supplies at different stages during the surgical procedure. We collected five types of surgical supplies from 90 patients who underwent D2 radical gastrectomy to find out if there was any cancer cells attached to them. Highest numbers of cancer cells were found on gauze used to clean the surgical instruments and on the gloves of scrub nurses. The likelihood of finding cancer cells increased with advancing clinical stage of disease, lower differentiation of cancer cells, increasing frequency of use of supplies and extent of contact, and was also associated with the characteristic of surgical supplies. Dissemination of tumor cells could be prevented by using a number of methods, depending on the type of surgical supply items.

No MeSH data available.


Related in: MedlinePlus

Five groups of surgical supplies.Notes: (Group A) Surgical instruments, including eight hemostats, two scalpels, two scissors, two needle holders, four stitches, three retractors, two bowel clamps, two Kocher clamps; (Group B) surgical gloves, (operator’s, first assistant’s, second assistant’s); (Group C) gloves of scrub nurses, and contaminated gauze which was used to clean surgical equipment and residual suture threads; (Group D) gauze which was used for hemostasis and clearing the operation field; (Group E) stapler devices.
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f1-ott-7-1869: Five groups of surgical supplies.Notes: (Group A) Surgical instruments, including eight hemostats, two scalpels, two scissors, two needle holders, four stitches, three retractors, two bowel clamps, two Kocher clamps; (Group B) surgical gloves, (operator’s, first assistant’s, second assistant’s); (Group C) gloves of scrub nurses, and contaminated gauze which was used to clean surgical equipment and residual suture threads; (Group D) gauze which was used for hemostasis and clearing the operation field; (Group E) stapler devices.

Mentions: Five groups of surgical supplies were identified: surgical instruments, including eight hemostats, two scalpels, two pairs of scissors, two needle holders, four stitches, three retractors, two bowel clamps, and two Kocher clamps (group A); surgical gloves from the operator, first assistant, and second assistant (group B); gloves used by scrub nurses, gauze used to clean surgical equipment, and residual suture threads (group C); gauze used to clear the operative field and for hemostasis (group D); and stapler devices (group E, Figure 1).


Analysis of exfoliated gastric carcinoma cells attached on surgical supplies.

Yu XF, Ma YY, Hu XQ, Zhang QF, Ye ZY - Onco Targets Ther (2014)

Five groups of surgical supplies.Notes: (Group A) Surgical instruments, including eight hemostats, two scalpels, two scissors, two needle holders, four stitches, three retractors, two bowel clamps, two Kocher clamps; (Group B) surgical gloves, (operator’s, first assistant’s, second assistant’s); (Group C) gloves of scrub nurses, and contaminated gauze which was used to clean surgical equipment and residual suture threads; (Group D) gauze which was used for hemostasis and clearing the operation field; (Group E) stapler devices.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4199791&req=5

f1-ott-7-1869: Five groups of surgical supplies.Notes: (Group A) Surgical instruments, including eight hemostats, two scalpels, two scissors, two needle holders, four stitches, three retractors, two bowel clamps, two Kocher clamps; (Group B) surgical gloves, (operator’s, first assistant’s, second assistant’s); (Group C) gloves of scrub nurses, and contaminated gauze which was used to clean surgical equipment and residual suture threads; (Group D) gauze which was used for hemostasis and clearing the operation field; (Group E) stapler devices.
Mentions: Five groups of surgical supplies were identified: surgical instruments, including eight hemostats, two scalpels, two pairs of scissors, two needle holders, four stitches, three retractors, two bowel clamps, and two Kocher clamps (group A); surgical gloves from the operator, first assistant, and second assistant (group B); gloves used by scrub nurses, gauze used to clean surgical equipment, and residual suture threads (group C); gauze used to clear the operative field and for hemostasis (group D); and stapler devices (group E, Figure 1).

Bottom Line: Surgical supplies are used to cut, divide, and ligate during surgery, and are not only in close contact with normal tissues, but may also be contaminated by pathological tissues and cells.Highest numbers of cancer cells were found on gauze used to clean the surgical instruments and on the gloves of scrub nurses.The likelihood of finding cancer cells increased with advancing clinical stage of disease, lower differentiation of cancer cells, increasing frequency of use of supplies and extent of contact, and was also associated with the characteristic of surgical supplies.

View Article: PubMed Central - PubMed

Affiliation: Operating Theatre, Zhejiang Provincial People's Hospital, Hangzhou, People's Republic of China.

ABSTRACT
Surgery is considered to have a leading role in the treatment of gastric carcinoma. Surgical supplies are used to cut, divide, and ligate during surgery, and are not only in close contact with normal tissues, but may also be contaminated by pathological tissues and cells. This study sought to determine the presence of exfoliated tumor cells on surgical supplies at different stages during the surgical procedure. We collected five types of surgical supplies from 90 patients who underwent D2 radical gastrectomy to find out if there was any cancer cells attached to them. Highest numbers of cancer cells were found on gauze used to clean the surgical instruments and on the gloves of scrub nurses. The likelihood of finding cancer cells increased with advancing clinical stage of disease, lower differentiation of cancer cells, increasing frequency of use of supplies and extent of contact, and was also associated with the characteristic of surgical supplies. Dissemination of tumor cells could be prevented by using a number of methods, depending on the type of surgical supply items.

No MeSH data available.


Related in: MedlinePlus