Repeat Hepatic Resection Using a Radiofrequency-Assisted Technique

El-Gendi, Ahmed; Khorsandi, Shirin Elizabeth; Pai, Madhava; Zacharoulis, Dimitris; Nicholls, Joanna P.; Spalding, Duncan; Jiao, Long R.; Habib, Nagy

doi:10.1159/000152845

Cited by 8 publications

(8 citation statements)

References 68 publications

(48 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Indications for liver resection have been continually extended over the past two decades, and currently include performing repeat liver resections for recurrent colorectal liver metastases [14,15,16] and HCCs [17,18], along with major hepatectomies for hilar cholangiocarcinomas [19]. Despite improvement in the safety of liver resections, the procedure is still associated with mortalities and postoperative complications, the most common of which are liver insufficiency, bile leaks and collections [20].…”

Section: Discussionmentioning

confidence: 99%

Use of Bipolar Radiofrequency in Parenchymal Transection of the Liver, Pancreas and Kidney

Pai¹,

Spalding²,

Jiao³

et al. 2012

Dig Surg

Self Cite

View full text Add to dashboard Cite

Background: Intraoperative blood loss has been shown to be an important factor correlating with increased morbidity and mortality in oncological surgery. Despite technological advances in parenchymal transection devices, bleeding remains the single most important complication. To address this, we designed and developed a bipolar radiofrequency (RF) device, the Habib 4X (Angiodynamics, Inc., Queensbury, N.Y., USA), which was initially used specifically for liver resections. Methods: A search using Medline, Embase and Google™ Scholar was performed for the period January 2001 to August 2011. The following Mesh terms were used: ‘bipolar radiofrequency’, ‘Habib 4X’, ‘laparoscopic’, ‘liver resection’, ‘partial nephrectomy’ and ‘distal pancreatectomy’. The references of the studies included were also reviewed. Series from our centre were excluded. Results: There wereseven series published, reporting a total of 188 liver resections [113 minor (<3 segments) and 75 major (≧3 segments)] assisted by the bipolar RF (Habib 4X) device over this period. The median blood loss reported ranged from 15 to 427 ml with a transfusion rate of 0–14% In addition, five series of partial nephrectomies were also identified, reporting a total of 149 (45 open and 104 laparoscopic) cases. Hilar clamping was not used in any of the cases, and the mean blood loss reported was 100–337 ml whilst the transfusion rate ranged from 0 to 7.1%. There was only one published series of distal pancreatectomies; these were laparoscopic and included 14 patients. Conclusion: This review of bipolar RF-assisted liver resections, partial nephrectomies and distal pancreatectomies reported in the literature to date shows that there are significant advantages in using this device in these types of operation.

show abstract

Section: Discussionmentioning

confidence: 99%

Use of Bipolar Radiofrequency in Parenchymal Transection of the Liver, Pancreas and Kidney

Pai¹,

Spalding²,

Jiao³

et al. 2012

Dig Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…Large lesions are less effectively treated with ablation but they can be resected while small lesions can be ablated [106,107]. However, the combination of hepatic resection with ablation expands the number of surgical candidates.…”

Section: Tumor Ablationmentioning

confidence: 99%

Treatment for colorectal liver metastases: a review

Shimada

Tanaka

Endou

et al. 2009

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…It is still true that surgical treatment in combination with oncological therapy is the only potentially curative treatment modality. The result is 5-year survival of 16–74% and 10-year survival of 9–69% in patients after R0 resection [ 5 ]. Unfortunately, only 10–25% of patients meet the criteria for implementation of R0 surgical resection at the time of diagnosis [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Colorectal cancer liver metastases: laparoscopic and open radiofrequency-assisted surgery.

Vávra

Nowaková

Ostruszka

et al. 2015

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

IntroductionThe liver is the most common site of colorectal metastases (colorectal liver metastases – CLM). Surgical treatment in combination with oncological therapy is the only potentially curative method. Unfortunately, only 10–25% of patients are suitable for surgery. Traditionally, open liver resection (OLR) is usually performed. However, laparoscopic liver resection (LLR) has become popular worldwide in the last two decades.AimTo evaluate the effectiveness and benefits of radiofrequency minor LLR of CLM in comparison with OLR.Material and methodsThe indication for surgery was CLM and the possibility to perform minor laparoscopic or OLR not exceeding two hepatic segments according to Couinaud's classification.ResultsSixty-six minor liver resections for CLM were performed. Twenty-five (37.9%) patients underwent a laparoscopic approach and 41 (62.1%) patients underwent OLR. The mean operative time was 166.4 min for LLR and 166.8 min for OLR. Average blood loss was 132.3 ±218.0 ml during LLR and 149.5 ±277.5 ml during OLR. Length of hospital stay was 8.4 ±2.0 days for LLR and 10.5 ±5.8 days for OLR. All resections were R0. There was no case of mortality. Postoperative complications were recognized in 9 (13.6%) patients: 8 in the group of OLR patients and 1 in the LLR group. The median survival time for LLR was 70.5 months and for OLR 61.9 months. The 5-year overall survival rate was higher for LLR vs. OLR – 82.1% vs. 69.8%. The average length of disease-free interval after LLR was greater (52.2 months) in comparison with OLR (49.4%). The 5-year disease-free interval was 63.2% for LLR and 58% for OLR.ConclusionsOutcomes and oncological radicality of minor laparoscopic liver resections of CLM are comparable to outcomes of OLR.

show abstract

Repeat Hepatic Resection Using a Radiofrequency-Assisted Technique

Cited by 8 publications

References 68 publications

Use of Bipolar Radiofrequency in Parenchymal Transection of the Liver, Pancreas and Kidney

Use of Bipolar Radiofrequency in Parenchymal Transection of the Liver, Pancreas and Kidney

Treatment for colorectal liver metastases: a review

Colorectal cancer liver metastases: laparoscopic and open radiofrequency-assisted surgery.

Contact Info

Product

Resources

About