Author/Authors :
Şen, Metin Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Turan, Mustafa Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Karadayı, Kürşat Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Koç, Mustafa Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey
Abstract :
Aim. To investigate the effects of Radiofrequency (RF)-assisted liver parenchyma dissection technique for the treatment of colorectal metastatic liver tumors in liver parenchymal function. Methods. Fifteen patients with colorectal hepatic metastases underwent radiofrequency assisted hepatic resection. Preoperative and postoperative (1^st day and 8^th day) liver function tests were eveluated. Results. Aspartate aminotransferase (AST) and Alanine transaminase (ALT) was increased in 100% of patients on the day after RF. However, 8 days after surgery ALT and AST levels have almost fully recovered. Serum bilirubine, alkaline phosphatase (ALP) and Gamma-glutamyl transpeptidase (GGT), levels were not increased in postoperative period. Conclusion. Hepatic parenchymal transection with RF device is an effective method to resect colorectal hepatic metastases. Careful patient selection will help to minimize the incidence of liver failure which may occur after RFA.