Modified radiofrequency-assisted liver resection: A new device

作者: Dimitris Zacharoulis , George Tzovaras , Christos Rountas , Antigoni Poultsidis , Emmanuel Katsogridakis

DOI: 10.1002/JSO.20770

关键词: HepatectomyMedicineBlood lossNew deviceSeptic complicationSurgeryRadiofrequency ablationAblationResectionIntensive care unitOncologyGeneral Medicine

摘要: Background Radiofrequency ablation (RF) is emerging as new therapeutic method for the management of hepatic tumors. So far RF-assisted hepatectomy has been described using an electrode initially designed unresectable Herein, we describe a technique liver resection bipolar radiofrequency device. Method Ten patients undergo device. A minimal zone desiccation around tumor created between pairs opposing electrodes result minimum amount energy released. This coagulated plane can be divided with scalpel. Results The parenchyma was blood loss. No intensive care unit admission needed. There no postoperative biliary leak or any other septic complication. Conclusion The safe and feasible, simplifies appears to associated morbidity maximum preservation. J. Surg. Oncol. 2007;96: 254–257. © 2007 Wiley-Liss, Inc.

参考文章(6)
HENRI BISMUTH, DENIS CASTING, O. JAMES GARDEN, Major hepatic resection under total vascular exclusion. Annals of Surgery. ,vol. 210, pp. 13- 19 ,(1989) , 10.1097/00000658-198907000-00002
Ahmet Ayav, Giuseppe Navarra, Nagy A. Habib, Long R. Jiao, New Technique for Liver Resection Using Heat Coagulative Necrosis Annals of Surgery. ,vol. 242, pp. 751- 563 ,(2005) , 10.1097/00000658-200511000-00025
G. Navarra, A. Ayav, J.-C. Weber, S. L. Jensen, C. Smadga, J. P. Nicholls, N. A. Habib, L. R. Jiao, Short- and-long term results of intraoperative radiofrequency ablation of liver metastases. International Journal of Colorectal Disease. ,vol. 20, pp. 521- 528 ,(2005) , 10.1007/S00384-005-0743-4
Y Fong, A M Cohen, J G Fortner, W E Enker, A D Turnbull, D G Coit, A M Marrero, M Prasad, L H Blumgart, M F Brennan, Liver resection for colorectal metastases. Journal of Clinical Oncology. ,vol. 15, pp. 938- 946 ,(1997) , 10.1200/JCO.1997.15.3.938
Giuseppe Navarra, Joanna P. Nicholls, Steen L. Jensen, Nagy A. Habib, Dimitris Zacharoulis, Vipin Asopa, Hepatectomy using intraoperative ultrasound-guided radiofrequency ablation. International Surgery. ,vol. 88, pp. 80- 82 ,(2003)
Jean-Christophe Weber, Giuseppe Navarra, Long R. Jiao, Joanna P. Nicholls, Steen Lindkaer Jensen, Nagy A. Habib, New Technique for Liver Resection Using Heat Coagulative Necrosis Annals of Surgery. ,vol. 236, pp. 560- 563 ,(2002) , 10.1097/00000658-200211000-00004