PMID- 18060768
OWN - NLM
STAT- MEDLINE
DCOM- 20080925
LR  - 20080418
IS  - 0960-7404 (Print)
IS  - 0960-7404 (Linking)
VI  - 17
IP  - 2
DP  - 2008 Aug
TI  - Radiofrequency-assisted liver resection.
PG  - 81-6
AB  - BACKGROUND: Surgical resection remains the treatment of choice for primary, 
      secondary liver cancer and a number of benign liver lesions. Complications are 
      mainly related to blood loss. Radiofrequency-assisted liver resection (RF-LR) has 
      been proposed in order to achieve minimal blood loss during parenchymal 
      transection. PATIENTS AND METHODS: Between May 2005 and April 2007, 46 
      consecutive patients with various hepatic lesions underwent RF-LR using 
      Radionics, Cool-Tip System. There were 28 men and 18 women with median age 65 
      years (range 54-76 years). Twelve major and 34 minor hepatectomies were performed 
      for various diseases: hepatocellular carcinoma (n=19), metastatic carcinoma 
      (n=23), focal nodal hyperplasia (n=2) and intrahepatic cholangiocarcinoma (ICC) 
      (n=2). Hepatic inflow occlusion was not used. RESULTS: No perioperative death was 
      documented. Median blood loss was 100ml (range 30-300cm(3)). Blood transfusion 
      was required postoperatively in one patient. Median transection time was 35min 
      (15-60min). Three patients developed biliary fistulas, four patients pleural 
      effusions, one patient hyperbilirubinemia, two pneumonia and four wound 
      infection. The median postoperative hospital stay was 6 days (range 4-10 days). 
      In a median 12 month follow-up (range 3-24 months), four patients with colorectal 
      metastases (CRM) and one patient with ICC developed recurrence. CONCLUSIONS: 
      Cool-Tip RF device provides a unique, simple and safe method of bloodless liver 
      resections and is indicated in cirrhotic patients with challenging hepatectomies 
      (segment VIII, central resections).
FAU - Delis, Spiros G
AU  - Delis SG
AD  - First Surgical Department, Agia Olga Hospital, 142 33 Athens, Greece. 
      sgdelis55@yahoo.gr
FAU - Bakoyiannis, Andreas
AU  - Bakoyiannis A
FAU - Tassopoulos, Nikos
AU  - Tassopoulos N
FAU - Athanasiou, Kostas
AU  - Athanasiou K
FAU - Madariaga, Juan
AU  - Madariaga J
FAU - Dervenis, Christos
AU  - Dervenis C
LA  - eng
PT  - Journal Article
DEP - 20071203
PL  - Netherlands
TA  - Surg Oncol
JT  - Surgical oncology
JID - 9208188
SB  - IM
MH  - Aged
MH  - Blood Loss, Surgical/*prevention & control
MH  - Catheter Ablation/*instrumentation
MH  - Cohort Studies
MH  - Electrodes
MH  - Female
MH  - *Hepatectomy/adverse effects
MH  - Humans
MH  - Liver Diseases/etiology/pathology/*surgery
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2007/12/07 09:00
MHDA- 2008/09/26 09:00
CRDT- 2007/12/07 09:00
PHST- 2007/07/14 00:00 [received]
PHST- 2007/09/30 00:00 [revised]
PHST- 2007/10/22 00:00 [accepted]
PHST- 2007/12/07 09:00 [pubmed]
PHST- 2008/09/26 09:00 [medline]
PHST- 2007/12/07 09:00 [entrez]
AID - S0960-7404(07)00150-8 [pii]
AID - 10.1016/j.suronc.2007.10.046 [doi]
PST - ppublish
SO  - Surg Oncol. 2008 Aug;17(2):81-6. doi: 10.1016/j.suronc.2007.10.046. Epub 2007 Dec 
      3.