Hand-assisted laparoscopic liver resection using Habib’s technique: early experience

Petr Vavra; Peter Ihnat; Michaela Vavrova; Lubomir Martinek; Jan Dostalik; Nagy Habib

doi:10.5114/wiitm.2011.25739

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abstract:

Original paper

Hand-assisted laparoscopic liver resection using Habib’s technique: early experience

Petr Vavra

,

Peter Ihnat

,

Michaela Vavrova

,

Lubomir Martinek

,

Jan Dostalik

,

Nagy Habib

Videosurgery and Other Miniinvasive Techniques 2012; 7 (1): 8-12

DOI: https://doi.org/10.5114/wiitm.2011.25739

Online publish date: 2011/11/17

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Introduction: Hand-assisted laparoscopic liver surgery, a newly developed technique based on an innovative concept, has proved useful and safe for a variety of less invasive hepatectomies. Radiofrequency-assisted hepatic resection has been reported to be safe, associated with minimal morbidity and mortality and decreased intraoperative blood loss and transfusion requirements.

Aim: We describe how we perform hand-assisted laparoscopic radiofrequency-assisted hepatic resection using a bipolar radiofrequency device.

Results: The use of the hand port has allowed the surgeon to use his hand in direct liver manipulation, mobilization, and retraction. It was also useful for tactile tumour localization. Radiofrequency-assisted hepatic parenchymal transection was performed on 15 patients using a bipolar device (Habib 4X) with minimal blood loss (74 ml), and very decent operative and resection times (92 min, 33 min respectively).

Conclusions: This combined procedure offers a safe, effective and rapid liver resection technique. This might encourage surgeons to perform a minimally invasive approach for liver resection more frequently.

keywords:

Hand-assisted laparoscopic liver resection using Habib’s technique: early experience

Petr Vavra , Peter Ihnat , Michaela Vavrova , Lubomir Martinek , Jan Dostalik , Nagy Habib

hand-assisted, laparoscopic liver resection, radiofrequency-assisted

Petr Vavra

,

Peter Ihnat

,

Michaela Vavrova

,

Lubomir Martinek

,

Jan Dostalik

,

Nagy Habib