The feasibility of hepatic resections using a bipolar radiofrequency device (Habib®)

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dc.authorid0000-0003-2357-5387
dc.contributor.authorCivil, Osman
dc.contributor.authorKement, Metin
dc.contributor.authorOkkabaz, Nuri
dc.contributor.authorHaksal, Mustafa
dc.contributor.authorGezen, Cem
dc.contributor.authorÖncel, Mustafa
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:56:24Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:56:24Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.descriptionWOS: 000367103500006
dc.descriptionPubMed ID: 26702234
dc.description.abstractThe bipolar radiofrequency device (HabibA (R)) has been recently introduced in order to reduce intraoperative bleeding for a safe hepatic resection as an alternative to the conventional tools. However, indications, perioperative findings, and outcome of the device for hepatic resections remain and deserve to be analyzed. The current study aims to analyze the feasibility of the bipolar radiofrequency device (HabibA (R)) for hepatic resections. Information of the patients that underwent hepatic resection using with the HabibA (R) device between 2007 and 2011 was abstracted. Patient, disease, and operation-related findings and perioperative data were investigated. A total of 71 cases (38 [53.5 %] males, mean age was 56.8 A +/- 11.9) were analyzed. Metastatic disease (n = 55; 77.5 %) was the leading indication followed by primary liver and biliary malignancies (n = 7; 9.9 %), hemangioma (n = 5; 7 %), hydatid disease (n = 3; 2.8 %), and hepatic gunshot trauma (n = 1; 1.4 %). Metastasectomy was the most commonly performed procedure (n = 31; 56.3 %), but in 24 (77.4 %) cases, it was performed in addition to extended resections. Other procedures in the study patients include segmentectomy in 17, bisegmentectomy in 19, trisegmentectomy in 17, right or left hepatectomy in 8, and extended right/left hepatectomy in 3. The mean (+/- SD) operation time was 241.7 +/- 78.2 min. The median amount of bleeding was 300 cc (range 25-2500), and 23 (32.4 %) cases required perioperative transfusion. The median hospitalization period was 5 days (range 1-47). Lengthened drainage (n = 9, 12.7 %) and intraabdominal abscess (n = 8, 11.23 %) were the most common problems. Hepatic resections using the HabibA (R) device seem to be feasible in cases with primary and metastatic hepatic lesions and benign liver masses and even those with hepatic trauma. It may lessen the amount of intraoperative hemorrhage, although lengthened drainage and intraabdominal abscess were the major postoperative problems in these cases.
dc.identifier.citationCivil, O., Kement, M., Okkabaz, N., Haksal, M., Gezen, C. ve Öncel, M. (2015). The feasibility of hepatic resections using a bipolar radiofrequency device (HabibA (R)). Indian Journal of Surgery, 77(4), 276-282. https://dx.doi.org/10.1007/s12262-015-1295-7
dc.identifier.doi10.1007/s12262-015-1295-7
dc.identifier.endpage282
dc.identifier.issn0972-2068
dc.identifier.issn0973-9793
dc.identifier.issue4
dc.identifier.scopusqualityQ3
dc.identifier.startpage276
dc.identifier.urihttps://dx.doi.org/10.1007/s12262-015-1295-7
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2694
dc.identifier.volume77
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofIndian Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHabib
dc.subjectRadiofrequency Device
dc.subjectHepatectomy
dc.subjectLiver Surgery
dc.subjectBlood Loss
dc.titleThe feasibility of hepatic resections using a bipolar radiofrequency device (Habib®)
dc.typeArticle

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