상위피인용논문
- 조회261
전남대학교병원
Kwak, H.D.a, Kim, S.-H.d,*, Seo, Y.S.b, Song, K.-J.c
aDivision of Colorectal Surgery, Department of Surgery, Chonnam National University Hospital, Gwangju, South Korea
bDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University, College of Medicine, Seoul, South Korea
cDepartment of Microbiology, Korea University, College of Medicine, Seoul, South Korea
dColorectal Division, Department of Surgery, Korea University Anam Hospital, Korea University, College of Medicine, 73 Inchon ro, Seongbuk-gu, Seoul, 02841, South Korea
*Corresponding author
Abstract
Background Hepatitis B virus (HBV) transmission is known to occur through direct contact with infected blood. There has been some suspicion that the virus can also be detected in aerosol form. However, this has never been directly shown. The purpose of this study was to sample and analyse surgical smoke from laparoscopic surgeries on patients with hepatitis B to determine whether HBV is present.
Methods A total of 11 patients who underwent laparoscopic or robotic abdominal surgeries between October 2014 and February 2015 at Korea University Anam Hospital were included in this study. A high efficiency collector was used to obtain surgical smoke in the form of hydrosol. The smoke was analysed by using nested PCR.
Results Robotic or laparoscopic colorectal resections were performed in 5 cases, laparoscopic gastrectomies in 3 cases and laparoscopic hepatic wedge resections in another 3 cases. Preoperatively, all of the patients had positive hepatitis B surface antigen (HBsAg). 2 patients had detectable HBsAb, and 2 were positive for hepatitis B e antigen. 3 patients were taking antihepatitis B viral medications at the time of the study. The viral load measured in the patients’ blood was undetectable to 1.7×108 IU/mL. HBV was detected in surgical smoke in 10 of the 11 cases.
Conclusions HBV is detectable in surgical smoke. This study provides preliminary data in the investigation of airborne HBV infection.
논문정보
- Research article
- 2016년 08월 (BRIC 등록일 2021-09-23)
- 국내 연구진
- 120회 이상 인용된 논문
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