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Hepatic resection using heat coagulative necrosis. First report of successful trisegmentectomy after hypertrophy
Gregor A Stavrou1, Z Tzias, C von Falck
1Department of General and Visceral Surgery, Celle General Hospital, Siemensplatz 4, 29223 Celle, Germany. stavrou@liversurgery.de
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.
