Radiofrequency Assisted Liver Resection in Non-cirhotic Liver. Initial Clinical Experience

Czech version

Authors: A. Ferko ^1,2; M. Leško ²; Z. Šubrt ¹; P. Hoffmann ³; B. Melichar ^4,5; P. Dvořák ³; Z. Vacek ³; P. Motyčka ²; J. Kočí ²
Authors‘ workplace: Katedra válečné chirurgie, Fakulta vojenského zdravotnictví, Univerzita Obrany Brno, vedoucí katedry doc. MUDr. A. Ferko, CSc. ¹; Klinika chirurgie Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Hradci Králové vedoucí katedry prof. MUDr. Z. Vobořil, DrSc. ²; Radiodiagnostická klinika Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Hradci Králové, přednosta kliniky prof. MUDr. P. Eliáš, CSc. ³; Klinika onkologie a radioterapie Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Hradci Králové, přednosta kliniky doc. MUDr. J. Petera, CSc. ⁴; Katedra vnitřních oborů Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Hradci Králové, vedoucí katedry prof. MUDr. J. Malý, CSc. ⁵
Published in: Rozhl. Chir., 2006, roč. 85, č. 6, s. 280-285.
Category: Monothematic special - Original

Overview

Aim of the study:
To evaluate the radiofrequency assisted liver resection using Habib sealer (RITA Medical System, Inc., Mountain View, CA).

Methods:
The operation time, liver transection time, transfusion units used, and postoperative complications were recorded in a prospective way.

Results:
22 liver resections were performed between July 2005 and December 2005, 15 of them were done using radiofrequency technique. Twelve anatomical resections and three non-anatomical resections were performed in total. The mean operation time equalled 155 (120–240) minutes. An average of 0.6 (0–4) transfusion units was used. In 13 of the 15 operations, which represent 86 % of the patients, no transfusions were used. Postoperatively, no major bleeding from the resection plane was noted and no biliary fistula was observed.

Conclusions:
Radiofrequncy assisted liver resection is a safe technique with the major benefit of minimal perioperative blood lost.

Key words:
liver – technique – radiofrequency ablation