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Related Experiment Video

Updated: Jun 19, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

Liver resection using a four-prong radiofrequency transection device.

Lawrence D Wagman1, Byrne Lee, Erick Castillo

  • 1Liver Tumor Program, St. Joseph Hospital, The Center for Cancer Prevention and Treatment, 1000 West La Veta Avenue, Orange, CA 92868, USA. Lawrence.Wagman@stjoe.org

The American Surgeon
|November 5, 2009
PubMed
Summary

The Habib 4X tissue coagulator is a safe tool for liver surgery, demonstrating acceptable outcomes in blood loss, transfusion rates, and margin recurrence in a large US study. This analysis provides key benchmarks for liver resection procedures.

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Area of Science:

  • Hepatobiliary Surgery
  • Surgical Technology
  • Oncology

Background:

  • Hepatic parenchyma division involves various surgical techniques.
  • The Habib 4X tissue coagulator represents a newer device for liver resections.
  • Evaluating novel surgical tools is crucial for improving patient outcomes.

Purpose of the Study:

  • To assess the safety and efficacy of the Habib 4X tissue coagulator in liver surgery.
  • To establish benchmark parameters for liver surgery outcomes using this device.
  • To specifically examine the risk of margin failure in hepatic resections performed with the Habib 4X.

Main Methods:

  • Analysis of 94 consecutive liver operations utilizing the Habib 4X.
  • Data collection focused on local failure at the resection margin, blood loss, transfusion requirements, and operative times.

Related Experiment Videos

Last Updated: Jun 19, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

  • Institutional Review Board (IRB) approval facilitated comprehensive data collection and follow-up.

    • Main Results:

    • Out of 94 patients, 33 (43%) experienced recurrence, with a mean time to recurrence of 212 days.
    • Four of 27 intrahepatic recurrences (15%) occurred at the resection margin.
    • Average operative time was 283 minutes, with average blood loss of 427 mL; 11 patients required transfusion.

    Conclusions:

    • The Habib 4X tissue coagulator is a safe instrument for liver surgery.
    • The device demonstrates acceptable performance regarding blood loss, transfusion needs, and margin recurrence.
    • This study provides valuable data for benchmarking liver surgery outcomes with the Habib 4X.