Liver resection with bipolar radiofrequency device: Habib™ 4X

Abstract

Habib 4X is an additional device for hepatobiliary surgeons to perform liver resections with minimal blood loss and low morbidity and mortality rates.

Efficiency and safety of radiofrequency-assisted hepatectomy for hepatocellular carcinoma with cirrhosis: A single-center retrospective cohort study

“…Patients in the RF+ group required fewer blood transfusions (17.0% vs 24.1%), because small vessels in the section line that would ordinarily have bled in conventional hepatectomy were cauterized with RF waves and did not bleed during the liver resection. As in other works, RF-assisted liver resection was found to reduce the amount of intraoperative blood loss and the number of intraoperative blood transfusion procedures required effectively [13][14][15][16] . ALT and AST levels were measured on postoperative days to assess the extent of hepatocellular damage to the remaining liver.…”

“…The use of RFA devices to perform liver resection was described in 2002 by Weber et al [12] . Later, a bipolar, handheld disposable RFA device (HabibTM 4x) was developed especially for liver resection [13] . Then a series of studies by different groups confirmed the benefits of radiofrequency-assisted hepatectomy in reducing blood loss [16,17,24] .…”

“…In recent years, the continuous use and development of radiofrequency ablation (RFA) in liver surgery have produced satisfactory results in the treatment of small HCC. It can also block small and medium-sized blood vessels in the liver through thermal coagulation, so it has been used in liver resection in order to reduce bleeding [11][12][13] . Radiofrequency-assisted hepatectomy was first described by Weber et al [12] who used a single needle probe to deploy RFA energy before liver resection, and the mean blood loss during the surgery was only 30 ± 10 mL in 15 patients.…”

“…However, the use of this technique remains controversial due to reported perioperative outcomes and complications. Some studies have suggested that radiofrequency-assisted liver resection leads to less blood loss, a lower transfusion rate, and less postoperative morbidity and mortality [13,16,17] . However, some studies have reported that radiofrequencyassisted liver resection causes severe postoperative liver dysfunction, and the incidence of postoperative complications is higher than that of simple hepatectomy [18][19][20] .…”

METODIKI DISSEKTsII PARENKhIMY V OTKRYTOY I LAPAROSKOPIChESKOY REZEKTsII PEChENI

“…В дальнейшем, по мере на-копления опыта, средняя цифра интраоперационной кровопотери возросла, в среднем до 305 мл, но все же нижняя ее граница осталась на прежнем, нулевом уровне, чего не отмечено при использовании ни одно-го инструмента применяемого в ходе диссекции тка-ни печени. Среднее время диссекции паренхимы при использовании аппарата составляет 45 мин, а общее время операции в среднем -205 мин [28].…”