Original Paper

Repeat Hepatic Resection Using a Radiofrequency-Assisted Technique
Ahmed M. El-Gendi^a, Shirin E. Khorsandi^a, Madhava Pai^a, Dimitris Zacharoulis^b, Joanna P. Nicholls^a, Duncan R.C. Spalding^a, Long R. Jiao^a, Nagy A. Habib<sup>a

a</sup>Department of Surgical Oncology, Imperial College London, London, UK;
^bDepartment of Surgery, University Hospital of Larissa, Larissa, Greece

Address of Corresponding Author

Dig Surg 2008;25:293-299 (DOI: 10.1159/000152845)

  Key Words

• Repeat liver resection
• Radiofrequency-assisted hepatic resection
• Habib® 4X

  Abstract

Background: Repeat hepatic resection for recurrent primary or secondary liver cancer is performed due to advances in resection techniques and evidence of survival benefit. This paper presents the safety and efficacy of repeat radiofrequency-assisted hepatic resection to highlight the utility of the technique. Methods: 264 consecutive hepatic resections performed on 218 patients were identified. The subset of patients with recurrent disease (n = 24) suitable for repeat hepatic resection had their records reviewed. Results: Including initial (n = 24), second (n = 24) and third hepatic resection (n = 6), a total of 54 hepatic resections were performed in 24 patients.Non-anatomical resection in the form of metastatectomy was the most common procedure. There were no post-operative deaths. Four patients (17%) had complications after their second resection and 1 (17%) after the third resection. There were no cases of bile leak or liver failure. The proportion of repeat hepatic resection for recurrent disease was high: 50% of recurrences were suitable for further resection after initial resection and 43% after second resection. Conclusion: Radiofrequency-assisted repeat hepatic resection is a safe procedure and may increase the proportion of patients who can be considered for a curative repeat hepatic resection.

Copyright © 2008 S. Karger AG, Basel

  Author Contacts

Prof. Nagy Habib
Head of Biosurgery and Biotechnology, Imperial College
Hammersmith Hospital, Du Cane Road
London W12 0NN (UK)
Tel. +44 20 8383 8574, Fax +44 20 8383 3212, E-Mail nagy.habib@imperial.ac.uk

  Article Information

Received: January 16, 2008
Accepted: April 4, 2008
Published online: September 4, 2008
Number of Print Pages : 7
Number of Figures : 1, Number of Tables : 4, Number of References : 43