
Laparoscopic hepatic resections using heat coagulation necrosis - 3-years experience
Autoři | |
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Rok publikování | 2003 |
Druh | Článek v odborném periodiku |
Časopis / Zdroj | Acta Chirurgica Belgica |
Fakulta / Pracoviště MU | |
Citace | |
Klíčová slova | liver resection; tumour; radiofrequency ablation; ablation methods; laparoscopy |
Popis | An extensive laparotomy is very often needed even in small non-anatomic liver resections for tumours thus participating in the postoperative morbidity. A laparoscopy could be an alternative together with peroperative pretreating of the tumour vicinity by a radiofrequency ablation to avoid bleeding. The technique, its obstacles and results are presented. Pringle,s manoeuvre was not used. Nevertheless, a control of the hepato-duodenal ligament with a vascular tape together with the hypovolemic anaesthesia was performed. Concerning the curative potential of the radiofrequency alone compared to the combined technique there were yet living cells populations found in 3 of 5 completely burned specimens. |