Video assisted thoracoscopic surgery-hepatectomy (VATS-H) and laparoscopic hepatectomy (LH) using a bipolar radiofrequency device

Abstract

We demonstrated here a bloodless liver parenchymal transection using a bipolar radiofrequency device in video assisted thoracoscopic surgery-hepatectomy (VATS-H) and laparoscopic hepatectomy (LH). The laparoscopic Habib 4X is a bipolar radiofrequency device consisting of a 2 × 2 array of needles arranged in a rectangle. It enables bloodless transection of the liver parenchyma. Thirty-three laparoscopic liver resections were performed with Habib 4X for liver neoplasm. Pringle manoeuvre was not used in series of VATS-H and pure-LH. The average blood loss was less than 152 mL. None of the patients had postoperative complication, such as postoperative bleeding and biliary leakage from liver transection area.
Laparoscopic liver resection using Habib 4X can be safely performed with a minimum intraoperative bleeding or postoperative complication.