caa a22 4500 445334444 CHVBK 20180317142749.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1245/s10434-011-1804-2 doi (NATIONALLICENCE)springer-10.1245/s10434-011-1804-2 Radiofrequency-Assisted Hepatic Resection [Elektronische Daten] [Madhava Pai, Charis Kyriakides, Sameh Mikhail, Nagy Habib, Duncan Spalding, Long Jiao, Daniel Cherqui] Background: The only curative procedure to date for liver tumors is surgical resection, which remains a major procedure with marked morbidity and mortality. Radiofrequency (RF) has increasingly been used for both ablation and resection. On the basis of this technique, a new bipolar RF device, Habib 4X, has been developed and used clinically. We present our technique of liver resection with this device in a patient with colorectal liver metastases. Methods: A patient with situs inversus who had colorectal liver metastases in her left lobe underwent left lateral segmentectomy with the new device, a four-electrode bipolar resection device that uses RF energy for tissue necrosis. After laparotomy and intraoperative ultrasound, the plane resection was marked 1 cm away from the edge of the lesion. Coagulative desiccation was performed along this plane using this sealer connected to a RF generator. The necrosed band of parenchyma was then divided with a scalpel and resection completed. Results: The length of the procedure was 105 minutes; resection time was 35 minutes. Total blood loss was 100 ml. No blood transfusions were required, and the patient was not admitted to the intensive care unit after surgery. The patient was discharged 10 days after surgery without any surgical complications. Conclusions: We think that RF-assisted liver resection with this new device is safe and effective. It is quicker than conventional RF and may reduce overall hospital stay in liver resection patients. Society of Surgical Oncology, 2011 Pai Madhava Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut Kyriakides Charis Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut Mikhail Sameh Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut Habib Nagy Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut Spalding Duncan Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut Jiao Long Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut Cherqui Daniel NewYork-Presbyterian Hospital/Weill Cornell Medical Center, Surgery, New York, USA aut Annals of Surgical Oncology Springer-Verlag 18/12(2011-11-01), 3391-3391 1068-9265 18:12<3391 2011 18 10434 https://doi.org/10.1245/s10434-011-1804-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-011-1804-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pai Madhava Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut NATIONALLICENCE 700 1- Kyriakides Charis Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut NATIONALLICENCE 700 1- Mikhail Sameh Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut NATIONALLICENCE 700 1- Habib Nagy Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut NATIONALLICENCE 700 1- Spalding Duncan Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut NATIONALLICENCE 700 1- Jiao Long Hammersmith Hospital, Liver and Pancreas Surgery, Imperial College London, London, UK aut NATIONALLICENCE 700 1- Cherqui Daniel NewYork-Presbyterian Hospital/Weill Cornell Medical Center, Surgery, New York, USA aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/12(2011-11-01), 3391-3391 1068-9265 18:12<3391 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer