Ultrasound-guided radiofrequency-assisted segmental liver resection: a new technique.
Segmental hepatectomy is appealing for several reasons including preservation of liver parenchyma, reduction of intraoperative blood loss, and blood replacement by dividing tissues along the anatomic planes. A simple technique guided by intraoperative ultrasound is described here using radio-frequency energy to create coagulative desiccation of segmental or subsegmental arterial and portal vessels. Thirty patients underwent a segmental resection using this technique without mortality and with minor morbidity. This technique has a major advantage of being easy and safe to apply. We believe it has a potentially important role in both open and laparoscopic liver surgery.
Curro
Giuseppe
G
Department of Surgical Sciences, G. Martino University Hospital, University of Messina, Messina, Italy.
Bartolotta
Marcello
M
Barbera
Adalberto
A
Jiao
Long
L
Habib
Nagy
N
Navarra
Giuseppe
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017115:Catheter Ablation; D015331:Cohort Studies; D019160:Endosonography; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D025321:Surgery, Computer-Assisted; D016896:Treatment Outcome