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Radiofrequency-assisted liver resection: higher incidence of infectious complications?

Z. Subrt, A. Ferko, B. Jon, F. Cecka,

. 2011 ; 111 (3) : 165-70.

Jazyk angličtina Země Belgie

Typ dokumentu srovnávací studie, časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc12027467

AIM: To evaluate clinical experience with radiofrequency (RF)-assisted liver resection in non-cirrhotic and non-cholestatic patients with metastatic liver disease. METHODS: A group of consecutive patients who underwent RF-assisted liver resection for metastatic liver disease was prospectively followed. RESULTS: Between July 2005 and April 2008, 95 liver RF-assisted liver resections were performed, 71 of them for metastatic liver disease. The mean hospital stay was 14 (range 5-40) days. The mean operation time was 141 (range 64-233) minutes. The mean duration of RF coagulation was 10 (range 9-12) minutes. A total of 37 complications in 24 (33%) patients were recorded, including 12 (16.9%) infected collections in resection line that had to be drained percutaneously. The 30-day postoperative mortality was zero. CONCLUSION: This study indicates that RF-assisted resection may have a benefit in decreasing peroperative blood loss and the number of blood transfusions. Nevertheless, an increased incidence of infectious complications and pleural effusions that required evacuation was noted.

Citace poskytuje Crossref.org

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$a AIM: To evaluate clinical experience with radiofrequency (RF)-assisted liver resection in non-cirrhotic and non-cholestatic patients with metastatic liver disease. METHODS: A group of consecutive patients who underwent RF-assisted liver resection for metastatic liver disease was prospectively followed. RESULTS: Between July 2005 and April 2008, 95 liver RF-assisted liver resections were performed, 71 of them for metastatic liver disease. The mean hospital stay was 14 (range 5-40) days. The mean operation time was 141 (range 64-233) minutes. The mean duration of RF coagulation was 10 (range 9-12) minutes. A total of 37 complications in 24 (33%) patients were recorded, including 12 (16.9%) infected collections in resection line that had to be drained percutaneously. The 30-day postoperative mortality was zero. CONCLUSION: This study indicates that RF-assisted resection may have a benefit in decreasing peroperative blood loss and the number of blood transfusions. Nevertheless, an increased incidence of infectious complications and pleural effusions that required evacuation was noted.
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