title: Emergency laparoscopy combined with radiofrequency ablation for hemostasis after percutaneous liver biopsy.
abstract: There are no data in the literature on the use of radiofrequency ablation (RFA) in emergency laparoscopy as a means of hemostasis after liver biopsy. In this case report we have described a case of a patient with Waldenstrom macroglobulinemia and hypervascularised hepatic tumor who developed severe hepatic bleeding after liver biopsy. Innovative, minimally invasive treatment consisted in a laparoscopic approach with introduction of RFA needle into the biopsy site, followed by immediate hemostasis with no complications. Laparoscopic surgery with RFA avoids unnecessary laparotomy in case of severe bleeding from a known source. It is therefore the optimal choice, even in patients for whom percutaneous biopsy would be a high-risk procedure.
authors.affiliation: First Surgical Clinic, University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania. rseicean@yahoo.com
authors.forename: R
authors.initials: R
authors.lastname: Seicean
authors.forename: V
authors.initials: V
authors.lastname: Binţinţan
authors.forename: A
authors.initials: A
authors.lastname: Seicean
authors.forename: R
authors.initials: R
authors.lastname: Scurtu
authors.forename: C
authors.initials: C
authors.lastname: Ciuce
mesh_terms: D001707:Biopsy, Needle / Q000009:adverse effects*; D017115:Catheter Ablation / Q000379:methods; D004630:Emergencies; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000601:surgery*; D006487:Hemostasis; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000150:complications; D008875:Middle Aged; D016896:Treatment Outcome; D008258:Waldenstrom Macroglobulinemia / Q000150:complications