Radiofrequency Assisted Liver Resection in Non-cirhotic Liver. Initial Clinical Experience
Ferko A.1, 2, Leško M.2, Šubrt Z.1, Hoffmann P.3, Melichar B.4, 5, Dvořák P.3, Vacek Z.3, Motyčka P.2, Kočí J.2
1 Katedra válečné chirurgie, Fakulta vojenského zdravotnictví, Univerzita Obrany Brno, vedoucí katedry doc. MUDr. A. Ferko, CSc. 2 Klinika chirurgie Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Hradci Králové, vedoucí katedry prof. MUDr. Z. Vobořil, DrSc. 3 Radiodiagnostická klinika Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Hradci vedoucí katedry prof. MUDr. Z. Vobořil, DrSc. 3 Radiodiagnostická klinika Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Hradci Králové, přednosta kliniky prof. MUDr. P. Eliáš, CSc. 4 Klinika onkologie a radioterapie Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Hradci Králové, přednosta kliniky doc. MUDr. J. Petera, CSc. 5 Katedra vnitřních oborů Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Hradci Králové, vedoucí katedry prof. MUDr. J. Malý, CSc. |
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Summary:
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
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