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Updated: Jul 16, 2026

Application of Laparoscopic Hepatectomy Combined with Intraoperative Microwave Ablation in Colorectal Cancer Liver Metastasis
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Modified radiofrequency-assisted liver resection: a new device.

Dimitris Zacharoulis1, George Tzovaras, Christos Rountas

  • 1Department of Surgery University Hospital of Larissa, University of Thessaly, Larissa, Greece. zachadim@yahoo.com

Journal of Surgical Oncology
|March 9, 2007
PubMed
Summary

A novel bipolar radiofrequency device offers a safe and feasible method for liver resection, simplifying the procedure while minimizing blood loss and preserving liver parenchyma.

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Area of Science:

  • Hepatobiliary surgery
  • Minimally invasive surgical techniques
  • Radiofrequency applications in oncology

Background:

  • Radiofrequency ablation (RF) is an emerging therapy for hepatic tumors.
  • Existing RF devices for hepatectomy were adapted from those for unresectable tumors.
  • A new bipolar radiofrequency device specifically for liver resection is introduced.

Purpose of the Study:

  • To describe a novel technique for liver resection using a bipolar radiofrequency device.
  • To evaluate the safety and feasibility of this new technique.
  • To assess its impact on blood loss and liver parenchyma preservation.

Main Methods:

  • Ten patients underwent liver resection utilizing a bipolar radiofrequency device.
  • A minimal zone of desiccation was created around the tumor using opposing electrodes and minimal energy.

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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
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  • The coagulated plane was subsequently divided with a scalpel.
  • Main Results:

    • Liver parenchyma division resulted in minimal blood loss.
    • No patients required intensive care unit admission post-procedure.
    • No postoperative complications such as biliary leaks or septic events were observed.

    Conclusions:

    • The bipolar radiofrequency device technique is safe and feasible for liver resection.
    • This method simplifies the liver resection procedure.
    • The technique is associated with minimal morbidity and maximal preservation of liver parenchyma.