Laparoscopic hepatic resections using heat coagulation necrosis - 3-years experience

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KALA Zdeněk VÁLEK Vlastimil KYSELA Petr HANKE Ivo BENDA Petr SVOBODA Tomáš PROCHÁZKA Vladimír

Rok publikování 2003
Druh Článek v odborném periodiku
Časopis / Zdroj Acta Chirurgica Belgica
Fakulta / Pracoviště MU

Lékařská fakulta

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.

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