Liver resection with a new technique

Aim. In this retrospective study, we scrutinized the patients in whom we had used RadioFrequency (RF) technique in liver resection procedures. Methods. In this retrospective study, indications for liver resection were malignant tumors in 17 (Elective cases) and 6 patients with trauma etiology (Emergency cases). Results. Left lateral segmentectomy (segments II-III) was done in 9 patients. Segment VI resection was performed in 4 patients. Non-anatomical (wedge) resections were done in 10 patients. The average time necessary for transection of the liver parenchyma was 34±5 min. in Elective group and 37±5min. in Emergency group. Average blood loss was 32±5 mL in Elective group and 89±8 mL in Emergency group. In the postoperative period, we did not see any subcapsular or perihepatic hematoma responsible for delayed hemorrhage. No signs of infectious disease or abscesses were observed. Conclusion. This RF assisted technique is effective in bloodless liver resections.

Abstract

Aim. In this retrospective study, we scrutinized the patients in whom we had used Radio-Frequency (RF) technique in liver resection procedures. Methods. In this retrospective study, indications for liver resection were malignant tumors in 17 (Elective cases) and 6 patients with trauma etiology (Emergency cases). Results. Left lateral segmentectomy (segments II-III) was done in 9 patients. Segment VI resection was performed in 4 patients. Non-anatomical (wedge) resections were done in 10 patients. The average time necessary for transection of the liver parenchyma was 34±5 min. in Elective group and 37±5min. in Emergency group. Average blood loss was 32±5 mL in Elective group and 89±8 mL in Emergency group. In the postoperative period, we did not see any subcapsular or perihepatic hematoma responsible for delayed hemorrhage. No signs of infectious disease or abscesses were observed. Conclusion. This RF assisted technique is effective in bloodless liver resections.

Keywords: Radio-Frequency, liver resection, hepatoma, trauma

 

Özet

Amaç. Bu çalışmada kliniğimizde karaciğer rezeksiyonunda Radio-Frekans (RF) tekniğinin uygulandığı hastalar irdelenmiştir. Yöntem. Bu retrospektif çalışmaya karaciğer rezeksiyonu uygulanan karaciğer tümörü olan 17 hasta (Elektif grup) ve karaciğer travması 6 hasta (Acil grup) dahil edilmiştir. Bulgular. Dokuz hastaya sol lateral segmentektomi (segment II-III) uygulanırken, Segment VI reseksiyonu 4 hastada uygulamıştır. Wedge reseksiyon 10 hastaya uygulanmıştır. Elektif grupta karaciğer parenkim rezeksiyonu için gereken ortalama zaman 34±5 dakika iken Acil grupta 37±5 dakika idi. Ortalama kan kaybı Elektif grupta 32±5 mL iken acil grupta 89±8 mL idi. Ameliyat sonrası dönemde subkapsüler veya perihepatik hematom gelişmemiştir. Yine herhangi bir abse veya enfeksiyon gelişmemiştir. Sonuç. Radio-Frekans (RF) tekniği karaciğer rezeksiyonunda kanamanın minimize edildiği bir ortam sağlamaktadır.