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HPB Surgery
Volume 2010, Article ID 403097, 7 pages
http://dx.doi.org/10.1155/2010/403097
Clinical Study

Radiomorphology of the Habib Sealer-Induced Resection Plane during Long-Time Followup:A Longitudinal Single Center Experience after 64 Radiofrequency-AssistedLiver Resections

1Department of General, Visceral and Cancer Surgery, University of Cologne, 50923 Cologne, Germany
2Center of Integrated Oncology, University of Cologne, 50923 Cologne, Germany
3Department of Radiology, University of Cologne, 50923 Cologne, Germany

Received 1 May 2010; Accepted 19 July 2010

Academic Editor: Olivier Farges

Copyright © 2010 Robert Kleinert et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Radiofrequency (RF-) assisted liver resection devices like the Habib sealer induce a necrotic resection plane from which a small margin of necrotic liver tissue remains in situ. The aim of the present paper was to report our long-time experience with the new resection method and the morphological characteristics of the remaining necrotic resection plane. Methods. 64 RF-assisted liver resections were performed using the Habib sealer. Followup was assessed at defined time points. Results. The postoperative mortality was 3,6% and morbidity was 18%. The followup revealed that the necrotic zone was detectable in all analyzed CT and MRI images as a hypodense structure without any contrast enhancement at all time points, irrespectively of the time interval between resection and examination. Conclusion. Liver resection utilizing radiofrequency-induced resection plane coagulation is a safe alternative to the established resection techniques. The residual zone of coagulation necrosis remains basically unchanged during a followup of three years. This has to be kept in mind when evaluating the follow up imaging of these patients.