ORIGINAL ARTICLES   

Minerva Chirurgica 2010 December;65(6):627-33

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: Italian

Hemostatic effectiveness of TachoSil® patches in radiofrequency assisted minor hepatic resection

Sandonato L. ¹, Cipolla C. ¹, Airò Farulla C. ¹, Graceffa G. ¹, Giannitrapani L. ³, Galia M. ², Lombardo G. ¹, Ferro G. ¹, Lodato L. ², Latteri M. A. ¹ ✉

¹ Divisione di Chirurgia Generale e Oncologica, Dipartimento di Oncologia, Unità Interdipartimentale per le neoplasie epatiche, Università di Palermo, Palermo, Italia; ² Divisione di Scienze Radiologiche, Dipartimento di Biothecnologia e Medicina Legale, Unità Interdipartimentale per le neoplasie epatiche Università di Palermo, Palermo, Italia; ³ Divisione di Medicina Interna ed Epatologia Dipartimento di Medicina Clinica e Patologie d’Emergenza, Unità Interdipartimentale per le neoplasie epatiche Università di Palermo, Palermo, Italia

AIM: Intra- and postoperative bleeding represents an extremely serious and frequent complication of hepatic surgery. The aim of this study was to evaluate the effectiveness of TachoSil® to improve hemostasis in radiofrequency assisted minor hepatic resection.
METHODS: Between July 2008 and June 2010, 31 patients underwent radiofrequency assisted minor hepatic resection. At the end of the liver resection a sponge of TachoSil® was applied on the liver.
RESULTS: The mean intraoperative bleeding from the liver was 56.1 mL (range 0-300 mL). No patients received intra- and postoperative blood transfusion. Surgical drains were removed between the first and the sixth-eight postoperative day.
CONCLUSION: According to the authors Tacho-sil® is helpful to improve hemostasis and biliary leakage in patients undergoing radiofrequency assisted minor hepatic resection.