Video

Video 81.2 Left lateral liver segmentectomy using single-port and radiofrequency coagulation

Left lateral liver segmentectomy using single-port and radiofrequency coagulation. The new technology for hepatic resections using radiofrequency and single-port access is an innovative way to perform safe laparoscopic major hepatic resections. We show a clinical case of a 37-year-old female patient with a large (9.2 cm) hemangioma at liver segments II and III, with indication for liver resection and cholecystectomy. After insertion of an umbilical single-port device, resection margins were marked and deeply delimitated with monopolar radiofrequency (Cool-tipTM, Covidien, USA). Intrahepatic section was performed without clips or sutures, and major pedicles were transected with an endostapler. The specimen was extracted with an extraction bag through the umbilical single port. Liver resections can nowadays have broader indications for primary laparoscopic and single-port resection. The concurrent use of radiofrequency technology to perform the intrahepatic resection can potentially minimize blood loss and reduce operative time, with better cosmesis.