English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Surgical resection for liver malignancy, has been demonstrated to increase overall survival; although the rate of post-operative mortality was reduced from 20% to 4% in recent years, it remains in any case a procedure that requires experienced and dedicated surgeons so that it can be followed by satisfactory results [1].  Several techniques have been developed and proposed in recent years in order to reduce the bleeding during liver resection. Surgeons can use an low central venous pressure, the continuous or intermittent clamping of hepatic pedicle or total vascular exclusion.  The parenchymal section may instead be performed by different devices: the HF, dissector or ultrasonic scalpel, laser, stapler, radiofrequency energy. Radiofrequency ablation (RFA) is the most widely used modality for radical treatment of small HCC (_3 cm). It improves 5-year survival compared with standard chemotherapy and chemical ablation, allowing down-staging of unresectable hepatic masses. Microwave ablation (MWA) has been extensively applied in Asia and was recently introduced in the United States of America and Europe with excellent results, especially with regard to large unresectable HCC [2].  Microwave assisted surgery technology with the introduction of the latest technical expedient (“mini-choke”) has gained excellent therapeutic capability in comparison with RF assisted surgery.  Applying the concept of precoagulation of liver transection line we developed a new technique that provides the pre coagulation of the resection line using microwaves technologies [3].  The aim of this study is to evaluate the clinical feasibility and the results of liver resections in elderly patients performed using microwave energy to obtain blood-less surgery, rate of biliary leakege, speed of the procedure, and the onset of surgical complications.

Microwaves assisted liver surgery in elderly patients: technical aspects of our first clinical experience