Minor hepatic resection using heat coagulative necrosis.

Giuseppe Cabibbo, Mario Latteri, Achille Mastrosimone, Fabio Fulfaro, Calogero Cipolla, Angela Terranova, Federica Latteri, Luigi Sandonato, Valentina Bova

Risultato della ricerca: Articlepeer review

8 Citazioni (Scopus)

Abstract

Intra- and postoperative bleeding represents an extremely serious and frequent complication of hepatic surgery. In this study, we evaluated the effectiveness of a radiofrequency (RF) device using heat to cause coagulative necrosis of the hepatic parenchyma to control hemostasis in minor hepatic resection. Between December 2005 and November 2007, a study was conducted of 21 patients undergoing 22 hepatic resections with the RF-assisted technique. Sixteen of these were affected by hepatocellular carcinoma and five had liver metastases from colorectal cancer. Intraoperative blood loss, the need for blood transfusion, the complication rates, operating times, and the duration of postoperative hospitalization were evaluated. Four segmentectomies and 18 tumorectomies were performed. The average blood loss was of 15.7 mL (range, 0–40 mL); the average operating time was 25.7 minutes (range, 12–43 minutes); the mean postoperative hospital stay was 8.2 days (range, 3–49 days) with a median of 6.0 days. The authors concluded that the RF-assisted technique can be a useful method not only for reducing blood loss and avoiding blood transfusions, but also for reducing operating time and postoperative hospitalization for minor liver resections.
Lingua originaleEnglish
pagine (da-a)1213-1219
Numero di pagine7
RivistaTHE AMERICAN SURGEON
Volume75
Stato di pubblicazionePublished - 2009

All Science Journal Classification (ASJC) codes

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