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Laparoscopic radiofrequency–assisted liver resection

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Abstract

Laparoscopic liver resection has not yet gained wide acceptance among hepatic surgeons, mainly because of the difficulties encountered in dealing with possible intraoperative bleeding. A new technique of laparoscopic liver resection is presented. A 43-year-old man with a large and symptomatic hemangioma underwent a laparoscopic radiofrequency energy–assisted liver resection. After induction of pneumoperitoneum, four trocars were introduced and intraoperative ultrasonography and coagulative desiccation were performed along a plane of tissue 1 cm away from the edge of the lesion using the Cool-Tip radiofrequency probe and a 500-kHz, radiofrequency generator. The necrosed band of parenchyma then was divided and the specimen removed. The operative time was 300 min with a resection time of 240 min. The intraoperative blood loss was 75 ml. The postoperative course was uneventful and the patient was discharged on postoperative day 6. Laparoscopic radiofrequency–assisted liver resection is feasible, and with greater experience may contribute to the wider use of mini-invasive video-assisted liver surgery.

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Authors and Affiliations

  1. Centre de Chirurgie Viscérale et Transplantation, Hôpitaux Universitaires de Strasbourg, Avenue Molière, 67098 Strasbourg Cedex, France

    J. C. Weber, P. Bachellier & D. Jaeck

  2. Department of Surgical Oncology and Technology, Imperial College Hammersmith Hospital Campus, London, United Kingdom

    G. Navarra & N. A. Habib

Authors
  1. J. C. Weber
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  2. G. Navarra
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  3. N. A. Habib
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  4. P. Bachellier
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  5. D. Jaeck
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Corresponding author

Correspondence to D. Jaeck.

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Weber, J., Navarra, G., Habib, N. et al. Laparoscopic radiofrequency–assisted liver resection . Surg Endosc 17, 834 (2003). https://doi.org/10.1007/s00464-002-4263-9

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  • DOI: https://doi.org/10.1007/s00464-002-4263-9

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