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dc.contributor.authorVávra, Petr
dc.contributor.authorKárník, Ladislav
dc.contributor.authorŠkrobánková, Martina
dc.contributor.authorJurčíková, Jana
dc.contributor.authorIhnát, Peter
dc.contributor.authorZonča, Pavel
dc.contributor.authorPeteja, Matúš
dc.contributor.authorEl-Gendi, A.
dc.contributor.authorCzudek, Stanislav
dc.date.accessioned2018-03-19T09:05:02Z
dc.date.available2018-03-19T09:05:02Z
dc.date.issued2018
dc.identifier.citationBrazilian Journal of Medical and Biological Research. 2018, vol. 51, issue 4, art. no. e6062.cs
dc.identifier.issn0100-879X
dc.identifier.issn1678-4510
dc.identifier.urihttp://hdl.handle.net/10084/125001
dc.description.abstractLiver resection is the standard treatment for any liver lesion. Laparoscopic liver resection is associated with lower intra-operative blood loss and fewer complications than open resection. Access to the posterior part of the right liver lobe is very uncomfortable and difficult for surgeons due the anatomic position, especially when employing laparoscopic surgery. Based on these experiences, a new laparoscopic device was developed that is capable of bending its long axis and allowing the application of radiofrequency energy in areas that were not technically accessible. The device is equipped with four telescopic needle electrodes that cause tissue coagulation after the delivery of radiofrequency energy. Ex vivo testing was performed in 2012 and 2014 at the University Hospital, Ostrava, on a porcine liver tissue. The main goal of this testing was to verify if the newly proposed electrode layout was suitable for sufficient tissue coagulation and creating a safety zone around lesions. During the ex vivo testing, the material of needle electrodes was improved to achieve the lowest possibility of adhesion. The power supply was adjusted from 20 to 120 W and the ablation time, which varied from 10 to 110 s, was monitored. Subsequently, optimal power delivery and time for coagulation was determined. This experimental study demonstrated the feasibility and safety of the newly developed device. Based on the ex vivo testing, LARA-K1 can create a safety zone of coagulation. For further assessment of the new device, an in vivo study should be performed.cs
dc.format.extent452418 bytes
dc.format.mimetypeapplication/pdf
dc.language.isoencs
dc.publisherAssociação Brasileira de Divulgação Científicacs
dc.relation.ispartofseriesBrazilian Journal of Medical and Biological Researchcs
dc.relation.urihttp://dx.doi.org/10.1590/1414-431x20176062cs
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.encs
dc.subjectlaparoscopic surgerycs
dc.subjectlivercs
dc.subjectradiofrequency energycs
dc.subjectposterior liver segmentscs
dc.titleAdvancement in liver laparoscopic resection - development of a new surgical devicecs
dc.typearticlecs
dc.identifier.doi10.1590/1414-431X20176062
dc.rights.accessopenAccesscs
dc.type.versionpublishedVersioncs
dc.type.statusPeer-reviewedcs
dc.description.sourceWeb of Sciencecs
dc.description.volume51cs
dc.description.issue4cs
dc.description.firstpageart. no. e6062cs
dc.identifier.wos000426392900001


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