Hepatic resection using heat coagulative necrosis. First report of successful trisegmentectomy after hypertrophy induction.
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Hepatic resection using heat coagulative necrosis. First report of successful trisegmentectomy after hypertrophy induction. / Stavrou, Gregor A.; Tzias, Z; von Falck, C; Habib, N; Oldhafer, K-J.
In: LANGENBECK ARCH SURG, Vol. 392, No. 1, 1, 2007, p. 95-97.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Hepatic resection using heat coagulative necrosis. First report of successful trisegmentectomy after hypertrophy induction.
AU - Stavrou, Gregor A.
AU - Tzias, Z
AU - von Falck, C
AU - Habib, N
AU - Oldhafer, K-J
PY - 2007
Y1 - 2007
N2 - INTRODUCTION: Intraoperative blood loss has been identified as one of the major mortality predictors for liver surgery. Different strategies have been used in the past to minimize blood loss during resection. A new method using heat coagulative necrosis in healthy tissue at the resection plane to achieve a bloodless resection has been described 3 years ago and has already gained acceptance for peripheral resections. A further developmental stage of this method is now available with the so-called Habib 4x sealer. So far, only resections ranging from segmentectomies to hemihepatectomies are reported. MATERIALS AND METHODS: In the case reported here, the new method was challenged to perform an extended hepatic resection in a patient suffering from colorectal liver metastases. The resection was performed in a hybrid technique of regular hilar preparation and parenchymal dissection using the sealer. CONCLUSION: The method showed to be safe and efficient even for an extended resection.
AB - INTRODUCTION: Intraoperative blood loss has been identified as one of the major mortality predictors for liver surgery. Different strategies have been used in the past to minimize blood loss during resection. A new method using heat coagulative necrosis in healthy tissue at the resection plane to achieve a bloodless resection has been described 3 years ago and has already gained acceptance for peripheral resections. A further developmental stage of this method is now available with the so-called Habib 4x sealer. So far, only resections ranging from segmentectomies to hemihepatectomies are reported. MATERIALS AND METHODS: In the case reported here, the new method was challenged to perform an extended hepatic resection in a patient suffering from colorectal liver metastases. The resection was performed in a hybrid technique of regular hilar preparation and parenchymal dissection using the sealer. CONCLUSION: The method showed to be safe and efficient even for an extended resection.
M3 - SCORING: Zeitschriftenaufsatz
VL - 392
SP - 95
EP - 97
JO - LANGENBECK ARCH SURG
JF - LANGENBECK ARCH SURG
SN - 1435-2443
IS - 1
M1 - 1
ER -
