Öz
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.
Anahtar Kelimeler
Kaynakça
- Belghiti J, Hiramatsu K, Benoist S. Seven hundred forty-seven hepatectomies in the 1990s: An update to evaluate the actual risk of liver resection. J Am Coll Surg 2000; 191: 38-46.
- Jarnagin WR, Gonen M, Fong Y. Improvement in perioperative outcome after hepatic resection: analysis of 1,803 consecutive cases over the past decade. Ann Surg 2002; 236: 397-406.
- L.R. Jiao, P.D. Hansen, R. Havlik. Clinical short-term results of radiofrequency ablation in primary and secondary liver tumors. Am J Surg 1999; 177: 303-6. G.S. Gazelle, S.N. Goldberg, L. Solbiati. Tumor ablation with radio-frequency energy Radiology 2000; 217: 633-46.
- M.D. Finch, J.L. Crosbie, E. Currie. An 8-year experience of hepatic resection: Indications and outcome. Br J Surg 1998: 85: 315-9.
- M. Cescon, G. Vetrone, G.L. Grazi. Trends in perioperative outcome after hepatic resection: Aanalysis of 1500 consecutive unselected cases over 20 years. Ann Surg 2009; 249: 995-1002.
- Huguet C, Gavelli A, Bona S. Hepatic resection with ischemia of the liver exceeding one hour. J Am Coll Surg 1994; 178: 454-8.
- Weber JC, Navarra G, Jiao LR. New technique for liver resection using heat coagulative necrosis. Ann Surg 2002; 236: 560-3.
- Karadayi K, Turan M, Sen M. A New Partial Splenectomy Technique Using Radiofrequency Ablation Technology; report of a case. Surgical Practice 2010; 14: 147-9.
- Karadayi K, Turan M, Sen M. A new technique for partial spleenectomy with radiofrequency technology. Journal of Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 2011; 21: 358-61.
- R.T. Poon, S.T. Fan, C.M. Lo. Improving perioperative outcome expands the role of hepatectomy in management of benign and malignant hepatobiliary diseases: Analysis of 1222 consecutive patients from a prospective database. Ann Surg 2004: 240; 698-708.
- Imamura H, Seyama Y, Kokudo N. One thousand fifty-six hepatectomies without mortality in 8 years. Arch Surg. 2003; 138: 1198-206.
- S T Fan, C M Lo, C L Liu. Hepatectomy for hepatocellular carcinoma: Toward zero hospital deaths. Ann Surg 1999; 229: 322-30.
- Descottes B, Lachachi F, Durand-Fontanier S. Right hepatectomies without vascular clamping: Report of 87 cases. J Hepatobiliary Pancreat Surg 2003; 10: 90
Öz
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.
Anahtar Kelimeler
Kaynakça
- Belghiti J, Hiramatsu K, Benoist S. Seven hundred forty-seven hepatectomies in the 1990s: An update to evaluate the actual risk of liver resection. J Am Coll Surg 2000; 191: 38-46.
- Jarnagin WR, Gonen M, Fong Y. Improvement in perioperative outcome after hepatic resection: analysis of 1,803 consecutive cases over the past decade. Ann Surg 2002; 236: 397-406.
- L.R. Jiao, P.D. Hansen, R. Havlik. Clinical short-term results of radiofrequency ablation in primary and secondary liver tumors. Am J Surg 1999; 177: 303-6. G.S. Gazelle, S.N. Goldberg, L. Solbiati. Tumor ablation with radio-frequency energy Radiology 2000; 217: 633-46.
- M.D. Finch, J.L. Crosbie, E. Currie. An 8-year experience of hepatic resection: Indications and outcome. Br J Surg 1998: 85: 315-9.
- M. Cescon, G. Vetrone, G.L. Grazi. Trends in perioperative outcome after hepatic resection: Aanalysis of 1500 consecutive unselected cases over 20 years. Ann Surg 2009; 249: 995-1002.
- Huguet C, Gavelli A, Bona S. Hepatic resection with ischemia of the liver exceeding one hour. J Am Coll Surg 1994; 178: 454-8.
- Weber JC, Navarra G, Jiao LR. New technique for liver resection using heat coagulative necrosis. Ann Surg 2002; 236: 560-3.
- Karadayi K, Turan M, Sen M. A New Partial Splenectomy Technique Using Radiofrequency Ablation Technology; report of a case. Surgical Practice 2010; 14: 147-9.
- Karadayi K, Turan M, Sen M. A new technique for partial spleenectomy with radiofrequency technology. Journal of Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 2011; 21: 358-61.
- R.T. Poon, S.T. Fan, C.M. Lo. Improving perioperative outcome expands the role of hepatectomy in management of benign and malignant hepatobiliary diseases: Analysis of 1222 consecutive patients from a prospective database. Ann Surg 2004: 240; 698-708.
- Imamura H, Seyama Y, Kokudo N. One thousand fifty-six hepatectomies without mortality in 8 years. Arch Surg. 2003; 138: 1198-206.
- S T Fan, C M Lo, C L Liu. Hepatectomy for hepatocellular carcinoma: Toward zero hospital deaths. Ann Surg 1999; 229: 322-30.
- Descottes B, Lachachi F, Durand-Fontanier S. Right hepatectomies without vascular clamping: Report of 87 cases. J Hepatobiliary Pancreat Surg 2003; 10: 90
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Cerrahi Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Ocak 2014 |
| Yayımlandığı Sayı | Yıl 2014 |