Cemil İSBİR, Yaşar ÖZDENKAYA, Sinan SOYLU, Mustafa TURAN, Metin ŞEN, Çınar YASTI, Cevdet DÜGER, Kürşat KARADAYI

Liver resection with a new technique

Amaç. Bu çalışmada kliniğimizde karaciğer rezeksiyonunda Radio-Frekans (RF) tekniğininuygulandığı hastalar irdelenmiştir. Yöntem. Bu retrospektif çalışmaya karaciğer rezeksiyonuuygulanan karaciğer tümörü olan 17 hasta (Elektif grup) ve karaciğer travması 6 hasta (Acil grup)dahil edilmiştir. Bulgular. Dokuz hastaya sol lateral segmentektomi (segment II-III) uygulanırken,Segment VI reseksiyonu 4 hastada uygulamıştır. Wedge reseksiyon 10 hastaya uygulanmıştır.Elektif grupta karaciğer parenkim rezeksiyonu için gereken ortalama zaman 34±5 dakika iken Acilgrupta 37±5 dakika idi. Ortalama kan kaybı Elektif grupta 32±5 mL iken acil grupta 89±8 mL idi.Ameliyat sonrası dönemde subkapsüler veya perihepatik hematom gelişmemiştir. Yine herhangibir abse veya enfeksiyon gelişmemiştir. Sonuç. Radio-Frekans (RF) tekniği karaciğerrezeksiyonunda kanamanın minimize edildiği bir ortam sağlamaktadır.

Karaciğer rezeksiyonunda yeni bir teknik

Aim. In this retrospective study, we scrutinized the patients in whom we had used Radio- Frequency (RF) technique in liver resection procedures. Methods. In this retrospective study,indications for liver resection were malignant tumors in 17 (Elective cases) and 6 patients withtrauma etiology (Emergency cases). Results. Left lateral segmentectomy (segments II-III) wasdone in 9 patients. Segment VI resection was performed in 4 patients. Non-anatomical (wedge)resections were done in 10 patients. The average time necessary for transection of the liverparenchyma was 34±5 min. in Elective group and 37±5min. in Emergency group. Average bloodloss was 32±5 mL in Elective group and 89±8 mL in Emergency group. In the postoperativeperiod, we did not see any subcapsular or perihepatic hematoma responsible for delayedhemorrhage. No signs of infectious disease or abscesses were observed. Conclusion. This RFassisted technique is effective in bloodless liver resections.

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