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  • Title: Modified radiofrequency-assisted liver resection: a new device.
    Author: Zacharoulis D, Tzovaras G, Rountas C, Poultsidis A, Katsogridakis E, Sioka E, Hatzitheofilou C.
    Journal: J Surg Oncol; 2007 Sep 01; 96(3):254-7. PubMed ID: 17345590.
    Abstract:
    BACKGROUND: Radiofrequency ablation (RF) is emerging as new therapeutic method for the management of hepatic tumors. So far the RF-assisted hepatectomy has been described using an electrode initially designed for ablation of unresectable tumors. Herein, we describe a new technique for liver resection using a bipolar radiofrequency device. METHOD: Ten patients undergo liver resection using a bipolar radiofrequency device. A minimal zone of desiccation around the tumor is created between pairs of opposing electrodes as a result of a minimum amount of energy released. This coagulated plane can be divided with a scalpel. RESULTS: The liver parenchyma was divided with minimal blood loss. No intensive care unit admission was needed. There was no postoperative biliary leak or any other septic complication. CONCLUSION: The technique is safe and feasible, simplifies liver resection and appears to be associated with minimal morbidity and maximum liver parenchyma preservation.
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