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Home > Journals > Minerva Chirurgica > Past Issues > Minerva Chirurgica 2011 October;66(5) > Minerva Chirurgica 2011 October;66(5):495-9

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CURRENT ISSUEMINERVA CHIRURGICA

A Journal on Surgery

Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877

Frequency: Bi-Monthly

ISSN 0026-4733

Online ISSN 1827-1626

 

Minerva Chirurgica 2011 October;66(5):495-9

    CASE REPORTS

Radiofrequency-assisted right hemihepatectomy by using a new incremental bipolar generator combined with liver hanging maneuver

Anselmo A. 1, Rossi P. 2, De Mayo A. 2, Manzia T. M. 1, Iaria G. 1, Toti L. 1, Tisone G. 1

1 Department of Transplantation, Tor Vergata University, Fondazione Policlinico Tor Vergata, Rome, Italy;
2 Department of Surgery, Fondazione Policlinico Tor Vergata, Rome, Italy

In order to reduce bleeding, various surgical maneuvers and devices have been used and radiofrequency (RF)-assisted liver resections have been recently advocated by many authors. We performed a right hemihepatectomy for colorectal liver metastases by using new radiofrequency generator (Surtron SB®) combined with hanging maneuver to facilitate the application of the probe and avoid injuries of the interior vena cava (IVC). Operative time was 245 minutes, intraoperative blood loss was 120 ml, transection blood loss was 70 mL. No blood units were administered at any time. After a regular postoperative (PO) course patient was discharged on 11th PO day with normal liver function tests. In conclusion combined use of a RF generator and hanging maneuver in right hemihepatectomy provide bloodless parenchymal transection. The enhanced exposure contributes to better hemostasis and permits the best allocation of the comb with protection of the IVC from injuries.

language: English


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