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Published on: December 4, 2023
Hand-assisted laparoscopic liver resection using Habib's technique: early experience
Petr Vávra1, Peter Ihnat, Michaela Vavrova
1Department of Surgery, University Hospital Ostrava, Czech Republic ; Department of Radiology, City Hospital Ostrava, Czech Republic.
Summary
Hand-assisted laparoscopic radiofrequency-assisted hepatic resection is a safe and effective minimally invasive liver surgery. This technique offers reduced blood loss and operative times, encouraging wider adoption of less invasive hepatectomies.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Hand-assisted laparoscopic liver surgery offers a less invasive approach for hepatectomies.
- Radiofrequency-assisted hepatic resection is recognized for its safety and reduced blood loss.
Purpose of the Study:
- To describe the technique of hand-assisted laparoscopic radiofrequency-assisted hepatic resection.
- To evaluate the safety and efficacy of this combined approach.
Main Methods:
- Utilized a hand port for direct liver manipulation, mobilization, and retraction.
- Employed a bipolar radiofrequency device (Habib 4X) for hepatic parenchymal transection.
- Performed tactile tumor localization using the surgeon's hand.
Main Results:
- The procedure was performed on 15 patients.
- Achieved minimal intraoperative blood loss (74 ml).
- Demonstrated efficient operative (92 min) and resection (33 min) times.
Conclusions:
- The combined technique provides a safe, effective, and rapid method for liver resection.
- This approach may promote increased utilization of minimally invasive liver surgery.
