Imperial College London
Mr Duncan Spalding

MrDuncanSpalding

Faculty of Medicine, Department of Surgery & Cancer

Clinical Senior Lecturer in Hepato-Biliary Surgery
 
 
 
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Contact

 

+44 (0)20 3313 3941d.spalding

 
 
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Location

 

Hammersmith HospitalHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Reccia:2017:10.1016/j.suronc.2017.06.003,
author = {Reccia, I and Kumar, J and Tomokazu, K and Zanellato, A and Draz, A and Spalding, D and Habib, N and Pai, M},
doi = {10.1016/j.suronc.2017.06.003},
journal = {Surgical Oncology},
pages = {296--304},
title = {A systemic review on radiofrequency assisted laparoscopic liver resection: Challenges and window to excel},
url = {http://dx.doi.org/10.1016/j.suronc.2017.06.003},
volume = {26},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Laparoscopic liver resection has progressively gained acceptance as a safe and effective procedure in the treatment of benign and malignant liver neoplasms. However, blood loss remains the major challenge in liver surgery. Several techniques and devices have been introduced in liver surgery in order to minimize intraoperative haemorrhage during parenchymal transection. Radiofrequency (RF)-assisted liver resection has been shown to be an effective method to minimize bleeding in open and laparoscopic liver resection. A number of RF devices for parenchymal transection have been designed to assist laparoscopic liver resections. Here we have reviewed the results of various RF devices in laparoscopic liver resection. A total 15 article were considered relevant for the evaluation of technical aspects and outcomes of RF-assisted liver resections in laparoscopic procedures. In these studies, 176 patients had laparoscopic liver resection using RF-assisted parenchymal coagulation. Two monopolar and three bipolar devices were employed. Blood loss was limited in most of the studies. The need of blood transfusions was limited to two cases in all the series. Conversion was necessary due to bleeding in 3 cases. Operative and transection times varied between studies. However, RF-assisted resection with bipolar devices appeared to have taken less time in comparison to other RF devices. RF-related complications were minimum, and only one case of in-hospital death due to hepatic failure was reported. Although RF has been used in a small minority of laparoscopic liver resections, laparoscopic RF-assisted liver resection for benign and malignant disease is a safe and feasible procedure associated with reduction in blood loss, low morbidity, and lower hospital mortality rates.
AU  - Reccia,I
AU  - Kumar,J
AU  - Tomokazu,K
AU  - Zanellato,A
AU  - Draz,A
AU  - Spalding,D
AU  - Habib,N
AU  - Pai,M
DO  - 10.1016/j.suronc.2017.06.003
EP  - 304
PY  - 2017///
SN  - 1879-3320
SP  - 296
TI  - A systemic review on radiofrequency assisted laparoscopic liver resection: Challenges and window to excel
T2  - Surgical Oncology
UR  - http://dx.doi.org/10.1016/j.suronc.2017.06.003
UR  - http://hdl.handle.net/10044/1/48986
VL  - 26
ER  -
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