%0 Journal Article %J Videosurgery and Other Miniinvasive Techniques %@ 1895-4588 %V 7 %N 1 %D 2012 %F Vavra2012 %T Hand-assisted laparoscopic liver resection using Habib’s technique: early experience %X 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. %A Vavra, Petr %A Ihnat, Peter %A Vavrova, Michaela %A Martinek, Lubomir %A Dostalik, Jan %A Habib, Nagy %P 8-12 %9 journal article %R 10.5114/wiitm.2011.25739 %U http://dx.doi.org/10.5114/wiitm.2011.25739