caa a22 4500 606247866 CHVBK 20210128101347.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s12262-015-1295-7 doi (NATIONALLICENCE)springer-10.1007/s12262-015-1295-7 The Feasibility of Hepatic Resections Using a Bipolar Radiofrequency Device (Habib®) [Elektronische Daten] [Osman Civil, Metin Kement, Nuri Okkabaz, Mustafa Haksal, Cem Gezen, Mustafa Oncel] The bipolar radiofrequency device (Habib®) has been recently introduced in order to reduce intraoperative bleeding for a safe hepatic resection as an alternative to the conventional tools. However, indications, perioperative findings, and outcome of the device for hepatic resections remain and deserve to be analyzed. The current study aims to analyze the feasibility of the bipolar radiofrequency device (Habib®) for hepatic resections. Information of the patients that underwent hepatic resection using with the Habib® device between 2007 and 2011 was abstracted. Patient, disease, and operation-related findings and perioperative data were investigated. A total of 71 cases (38 [53.5%] males, mean age was 56.8 ± 11.9) were analyzed. Metastatic disease (n = 55; 77.5%) was the leading indication followed by primary liver and biliary malignancies (n = 7; 9.9%), hemangioma (n = 5; 7%), hydatid disease (n = 3; 2.8%), and hepatic gunshot trauma (n = 1; 1.4%). Metastasectomy was the most commonly performed procedure (n = 31; 56.3%), but in 24 (77.4%) cases, it was performed in addition to extended resections. Other procedures in the study patients include segmentectomy in 17, bisegmentectomy in 19, trisegmentectomy in 17, right or left hepatectomy in 8, and extended right/left hepatectomy in 3. The mean (±SD) operation time was 241.7 ± 78.2min. The median amount of bleeding was 300cc (range 25-2500), and 23 (32.4%) cases required perioperative transfusion. The median hospitalization period was 5days (range 1-47). Lengthened drainage (n = 9, 12.7%) and intraabdominal abscess (n = 8, 11.23%) were the most common problems. Hepatic resections using the Habib® device seem to be feasible in cases with primary and metastatic hepatic lesions and benign liver masses and even those with hepatic trauma. It may lessen the amount of intraoperative hemorrhage, although lengthened drainage and intraabdominal abscess were the major postoperative problems in these cases. Association of Surgeons of India, 2015 Habib nationallicence Radiofrequency device nationallicence Hepatectomy nationallicence Liver surgery nationallicence Blood loss nationallicence Civil Osman Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut Kement Metin Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut Okkabaz Nuri Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut Haksal Mustafa Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut Gezen Cem Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut Oncel Mustafa Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut Indian Journal of Surgery Springer India 77/4(2015-08-01), 276-282 0972-2068 77:4<276 2015 77 12262 https://doi.org/10.1007/s12262-015-1295-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-015-1295-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Civil Osman Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Kement Metin Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Okkabaz Nuri Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Haksal Mustafa Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Gezen Cem Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Oncel Mustafa Department of General Surgery, Kartal Education and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77/4(2015-08-01), 276-282 0972-2068 77:4<276 2015 77 12262