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Abstract : |
Hepatic resections are the only potential curative treatment for malignant tumors of the liver but there are associated with important operative blood loss and with a high rate of morbidity. To control the operative hemorrhage different surgical techniques were developed: Lortat-Jacob, Ton That Tung, Bismuth. All of these use the vascular clamp of hepatic vascular pedicles to control the operative hemorrhage. In the last decades, new technologies were developed, to assure an optimal control of the hemorrhage: harmonic scalpel, argon coagulator, Ligasureآ® etc. The focal therapies, as thermonecrosis by radiofrequency or overheated steam, were also use for the treatment of non-resectable metastasis. In the last years radio frequency ablation (RFA) was successful used to perform bloodless hepatic resections (e.g. Habib technique). We describe the surgical technique for bloodless resection of the liver using Habib RFA device and overheated steam thermonecrosis device., |
