2009, Volume 2, Issue 1, pp 42 – 52

The possibilities of radiofrequency technology in the surgery of parenchimatous organs

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Authors and Affiliations

Correspondence to: Florian Popa, M.D., Ph.D., P.O.Box 35-59 Bucharest 35, Romania

Abstract

The aim of this paper is to determine the possibilities of modern radiofrequency (RF) technology and the usefulness of abdominal and thoracic parenchymatous organs in surgery. Investigation was made on 17 patients with 125 RF energy realized cycles (an average of 7,35 per one pt.) and the average time heating coagulative necrosis of 42,6 minutes (maximum to 80 minutes). There was one complication (pleural effusion) in a patient with RF treatment of 5 metastases colorectal carcinoma (MCRC) and synchronous right hemicolectomy. There were no other complications either to close or to distant to the organs. The urgent need of RF technology was in the case of a patient with iatrogenic rupture of spleen, treated by radiofrequency coagulation (RFC) with documented preservation of the whole organ. Most of the patients with MCRC (64%) were intraoperatively treated with a combination of radiofrequency ablation (RFA) and radiofrequency assisted resection (RFAR) of the liver with success in 95% of the cases. In the surgery of echinococcal liver cyst located deep, in the parenchyma, RFA were used for scolicidal purpose, and for hepatotomy. In the treatment of lung malignancies RF technology was reserved for nonsurgical candidates suffering from NSCLC, but also for surgical patients as a palliative measure in the treatment of local symptoms related to non-resectable primary and secondary tumors, presenting an aggressive tumor growth on the thoracic wall and the great vessels, with the possibility of reducing the number of explorative thoracotomy.

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About this article

PMC ID: 5051480
PubMed ID: 20108490
DOI: 

Article Publishing Date (print): Jan-Mar 2009
Available Online: 

Journal information

ISSN Printing: 1844-122X
ISSN Online: 1844-3117
Journal Title: Journal of Medicine and Life

Copyright License: Open Access

This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use and redistribution provided that the original author and source are credited.


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