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:2018:10.1016/j.suronc.2018.05.024,
author = {Reccia, I and Kumar, J and Kusano, T and Giakoustidis, A and Zanellato, A and Retsas, P and Habib, N and Jiao, L and Spalding, D and Pai, M},
doi = {10.1016/j.suronc.2018.05.024},
journal = {Surgical Oncology},
pages = {415--420},
title = {Radiofrequency-assisted liver resection: Technique and results},
url = {http://dx.doi.org/10.1016/j.suronc.2018.05.024},
volume = {27},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundRadiofrequency (RF)-assisted liver resection allows non-anatomical liver resection with reduced blood loss and offers the opportunity for a combination of resection and ablation. However, there are still concerns with regard to postoperative complications related to this technique. In the present study, we discuss the technical aspects of RF-assisted liver resections and analyse the rate of perioperative complications, focusing on post-hepatectomy liver failure (PLF), bile leak and abscess, and mortality.MethodsBetween 2001 and 2015, 857 consecutive open and laparoscopic elective RF-assisted liver resections for benign and malignant liver tumours were reviewed retrospectively to assess perioperative outcomes.ResultsMedian intraoperative blood loss was 130mL, with 9.8% of patients requiring blood transfusion. Intra-abdominal collections requiring percutaneous drainage developed in 8.7% of all patients, while bile leak at resection margin developed in 2.8% of the cases. Major liver resection was performed in 34% of patients and the incidence of PLF was 1.5% with one directly related mortality (0.1%).ConclusionRF-assisted liver resection has evolved into a feasible and safe technique of liver resection with an acceptable incidence of perioperative morbidity and a low incidence of PLF and related mortality.
AU  - Reccia,I
AU  - Kumar,J
AU  - Kusano,T
AU  - Giakoustidis,A
AU  - Zanellato,A
AU  - Retsas,P
AU  - Habib,N
AU  - Jiao,L
AU  - Spalding,D
AU  - Pai,M
DO  - 10.1016/j.suronc.2018.05.024
EP  - 420
PY  - 2018///
SN  - 0960-7404
SP  - 415
TI  - Radiofrequency-assisted liver resection: Technique and results
T2  - Surgical Oncology
UR  - http://dx.doi.org/10.1016/j.suronc.2018.05.024
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000444463900013&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://www.sciencedirect.com/science/article/pii/S0960740417303894?via%3Dihub
VL  - 27
ER  -
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