Laparoscopic Habib™ 4X: a bipolar radiofrequency device for bloodless laparoscopic liver resection
Background. In recent years the progress of laparoscopic procedures and the development of new and dedicated technologies have made laproscopic hepatic surgery feasible and safe. In spite of this laparoscopic liver resection remains a surgical procedure of great challenge because of the risk of mass...
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Veröffentlicht in: | HPB (Oxford, England) England), 2008-08, Vol.10 (4), p.261-264 |
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description | Background. In recent years the progress of laparoscopic procedures and the development of new and dedicated technologies have made laproscopic hepatic surgery feasible and safe. In spite of this laparoscopic liver resection remains a surgical procedure of great challenge because of the risk of massive bleeding during liver transection and the complicated biliary and vascular anatomy in the liver. A new laparoscopic device is reported here to assist liver resection laparoscopically. Methods. The laparoscopic Habib™ 4X is a bipolar radiofrequency device consisting of a 2x2 array of needles arranged in a rectangle. It is introduced perpendicularly into the liver, along the intended transection line. It produces coagulative necrosis of the liver parenchyma sealing biliary radicals and blood vessels and enables bloodless transection of the liver parenchyma. Results. Twenty-four Laparoscopic liver resections were performed with LH4X out of a total of 28 attempted resections over 12 months. Pringle manoeuvre was not used in any of the patients. None of the patients required intraoperative transfusion of red cells or blood products. Conclusion. Laparoscopic liver resection can be safely performed with laparoscopic Habib™ 4X with a significantly low risk of intraoperative bleeding or postoperative complications. |
doi_str_mv | 10.1080/13651820802167862 |
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In recent years the progress of laparoscopic procedures and the development of new and dedicated technologies have made laproscopic hepatic surgery feasible and safe. In spite of this laparoscopic liver resection remains a surgical procedure of great challenge because of the risk of massive bleeding during liver transection and the complicated biliary and vascular anatomy in the liver. A new laparoscopic device is reported here to assist liver resection laparoscopically. Methods. The laparoscopic Habib™ 4X is a bipolar radiofrequency device consisting of a 2x2 array of needles arranged in a rectangle. It is introduced perpendicularly into the liver, along the intended transection line. It produces coagulative necrosis of the liver parenchyma sealing biliary radicals and blood vessels and enables bloodless transection of the liver parenchyma. Results. Twenty-four Laparoscopic liver resections were performed with LH4X out of a total of 28 attempted resections over 12 months. Pringle manoeuvre was not used in any of the patients. None of the patients required intraoperative transfusion of red cells or blood products. Conclusion. Laparoscopic liver resection can be safely performed with laparoscopic Habib™ 4X with a significantly low risk of intraoperative bleeding or postoperative complications.</description><identifier>ISSN: 1365-182X</identifier><identifier>EISSN: 1477-2574</identifier><identifier>DOI: 10.1080/13651820802167862</identifier><identifier>PMID: 18773100</identifier><language>eng</language><publisher>Oxford, UK: Elsevier Ltd</publisher><subject>Habib 4X ; laparoscopic liver resection ; liver resection technique ; radiofrequency ; Review</subject><ispartof>HPB (Oxford, England), 2008-08, Vol.10 (4), p.261-264</ispartof><rights>2008 International Hepato-Pancreato-Biliary Association</rights><rights>2008 Taylor & Francis</rights><rights>Informa UK Ltd, 2008 2008 Informa UK Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5346-197478ee88b60f6c858c6ada0aec8f48809dadf36208cba80cb02a731c2d966d3</citedby><cites>FETCH-LOGICAL-c5346-197478ee88b60f6c858c6ada0aec8f48809dadf36208cba80cb02a731c2d966d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518296/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518296/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,27924,27925,45574,45575,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18773100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pai, M.</creatorcontrib><creatorcontrib>Navarra, G.</creatorcontrib><creatorcontrib>Ayav, A.</creatorcontrib><creatorcontrib>Sommerville, C.</creatorcontrib><creatorcontrib>Khorsandi, S.K.</creatorcontrib><creatorcontrib>Damrah, O.</creatorcontrib><creatorcontrib>Jiao, L.R.</creatorcontrib><creatorcontrib>Habib, N.A.</creatorcontrib><title>Laparoscopic Habib™ 4X: a bipolar radiofrequency device for bloodless laparoscopic liver resection</title><title>HPB (Oxford, England)</title><addtitle>HPB (Oxford)</addtitle><description>Background. In recent years the progress of laparoscopic procedures and the development of new and dedicated technologies have made laproscopic hepatic surgery feasible and safe. In spite of this laparoscopic liver resection remains a surgical procedure of great challenge because of the risk of massive bleeding during liver transection and the complicated biliary and vascular anatomy in the liver. A new laparoscopic device is reported here to assist liver resection laparoscopically. Methods. The laparoscopic Habib™ 4X is a bipolar radiofrequency device consisting of a 2x2 array of needles arranged in a rectangle. It is introduced perpendicularly into the liver, along the intended transection line. It produces coagulative necrosis of the liver parenchyma sealing biliary radicals and blood vessels and enables bloodless transection of the liver parenchyma. Results. Twenty-four Laparoscopic liver resections were performed with LH4X out of a total of 28 attempted resections over 12 months. Pringle manoeuvre was not used in any of the patients. None of the patients required intraoperative transfusion of red cells or blood products. Conclusion. Laparoscopic liver resection can be safely performed with laparoscopic Habib™ 4X with a significantly low risk of intraoperative bleeding or postoperative complications.</description><subject>Habib 4X</subject><subject>laparoscopic liver resection</subject><subject>liver resection technique</subject><subject>radiofrequency</subject><subject>Review</subject><issn>1365-182X</issn><issn>1477-2574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqFkc2KFDEUhYMozo8-gBupnavSpFKVpBSEcXCmhUZbGXF24VZyS6PpSpl099h7n8RH80lMU804IugqF_Kdk3tyCHnA6GNGFX3CuGiYqvJYMSGVqG6RQ1ZLWVaNrG_nOd-XGbg8IEcpfaYZo6y9Sw6YkpIzSg-JncMIMSQTRmeKGXSu-_n9R1FfPi2g6NwYPMQignWhj_h1jYPZFhY3zmDRh1h0PgTrMaXC3_TxboNZhgnNyoXhHrnTg094f38ek_dnLy9OZ-X8zfmr05N5aRpei5K1spYKUalO0F4Y1SgjwAIFNKqvlaKtBdtzkRObDhQ1Ha0gBzGVbYWw_Jg8n3zHdbdEa3BYRfB6jG4JcasDOP3nzeA-6Y9ho6vdN7YiGzzaG8SQw6aVXrpk0HsYMKyTlpw3vK3VjmQTaXLoFLG_foVRvStH_1VO1jy8ud5vxb6NDDQTcOU8bv_vqGeLF0zuliknnUsr_Hatg_hFC8lloz-8PtcXZ81buni30LPMP5t4zGVsHEadjMvVonUxN6ZtcP-I8QvLML4g</recordid><startdate>200808</startdate><enddate>200808</enddate><creator>Pai, M.</creator><creator>Navarra, G.</creator><creator>Ayav, A.</creator><creator>Sommerville, C.</creator><creator>Khorsandi, S.K.</creator><creator>Damrah, O.</creator><creator>Jiao, L.R.</creator><creator>Habib, N.A.</creator><general>Elsevier Ltd</general><general>Blackwell Publishing Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>BSCLL</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200808</creationdate><title>Laparoscopic Habib™ 4X: a bipolar radiofrequency device for bloodless laparoscopic liver resection</title><author>Pai, M. ; Navarra, G. ; Ayav, A. ; Sommerville, C. ; Khorsandi, S.K. ; Damrah, O. ; Jiao, L.R. ; Habib, N.A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5346-197478ee88b60f6c858c6ada0aec8f48809dadf36208cba80cb02a731c2d966d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Habib 4X</topic><topic>laparoscopic liver resection</topic><topic>liver resection technique</topic><topic>radiofrequency</topic><topic>Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pai, M.</creatorcontrib><creatorcontrib>Navarra, G.</creatorcontrib><creatorcontrib>Ayav, A.</creatorcontrib><creatorcontrib>Sommerville, C.</creatorcontrib><creatorcontrib>Khorsandi, S.K.</creatorcontrib><creatorcontrib>Damrah, O.</creatorcontrib><creatorcontrib>Jiao, L.R.</creatorcontrib><creatorcontrib>Habib, N.A.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Istex</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>HPB (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pai, M.</au><au>Navarra, G.</au><au>Ayav, A.</au><au>Sommerville, C.</au><au>Khorsandi, S.K.</au><au>Damrah, O.</au><au>Jiao, L.R.</au><au>Habib, N.A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic Habib™ 4X: a bipolar radiofrequency device for bloodless laparoscopic liver resection</atitle><jtitle>HPB (Oxford, England)</jtitle><addtitle>HPB (Oxford)</addtitle><date>2008-08</date><risdate>2008</risdate><volume>10</volume><issue>4</issue><spage>261</spage><epage>264</epage><pages>261-264</pages><issn>1365-182X</issn><eissn>1477-2574</eissn><abstract>Background. In recent years the progress of laparoscopic procedures and the development of new and dedicated technologies have made laproscopic hepatic surgery feasible and safe. In spite of this laparoscopic liver resection remains a surgical procedure of great challenge because of the risk of massive bleeding during liver transection and the complicated biliary and vascular anatomy in the liver. A new laparoscopic device is reported here to assist liver resection laparoscopically. Methods. The laparoscopic Habib™ 4X is a bipolar radiofrequency device consisting of a 2x2 array of needles arranged in a rectangle. It is introduced perpendicularly into the liver, along the intended transection line. It produces coagulative necrosis of the liver parenchyma sealing biliary radicals and blood vessels and enables bloodless transection of the liver parenchyma. Results. Twenty-four Laparoscopic liver resections were performed with LH4X out of a total of 28 attempted resections over 12 months. Pringle manoeuvre was not used in any of the patients. None of the patients required intraoperative transfusion of red cells or blood products. Conclusion. Laparoscopic liver resection can be safely performed with laparoscopic Habib™ 4X with a significantly low risk of intraoperative bleeding or postoperative complications.</abstract><cop>Oxford, UK</cop><pub>Elsevier Ltd</pub><pmid>18773100</pmid><doi>10.1080/13651820802167862</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Habib 4X laparoscopic liver resection liver resection technique radiofrequency Review |
title | Laparoscopic Habib™ 4X: a bipolar radiofrequency device for bloodless laparoscopic liver resection |
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