Ultrasound-guided radiofrequency-assisted segmental liver resection: a new technique

Ann Surg. 2009 Aug;250(2):229-33. doi: 10.1097/SLA.0b013e3181b0c38a.

Abstract

Segmental hepatectomy is appealing for several reasons including preservation of liver parenchyma, reduction of intraoperative blood loss, and blood replacement by dividing tissues along the anatomic planes. A simple technique guided by intraoperative ultrasound is described here using radio-frequency energy to create coagulative desiccation of segmental or subsegmental arterial and portal vessels. Thirty patients underwent a segmental resection using this technique without mortality and with minor morbidity. This technique has a major advantage of being easy and safe to apply. We believe it has a potentially important role in both open and laparoscopic liver surgery.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Catheter Ablation*
  • Cohort Studies
  • Endosonography*
  • Female
  • Hepatectomy / methods*
  • Humans
  • Laparoscopy
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / pathology
  • Liver Neoplasms / surgery*
  • Male
  • Middle Aged
  • Surgery, Computer-Assisted*
  • Treatment Outcome