Virtually bloodless laparoscopic liver resection of recurrent hepatoma with a new laparoscopic sealer device: report of our initial laparoscopic experience

Liver resections have always been challenging especially when dealing with hemostasis. This is even more true in the laparoscopic approach. Excessive intraoperative blood loss is known to increase morbidity and reduce survival of patients undergoing major cancer procedures. Multiple techniques and devices have been employed in the past to deal with this problem. Use of recent technologies such as radiofrequency energy for hemostasis in solid organs of both human and animals have been reported with promising results. The Habib Laparoscopic Sealer 4XL device is a new instrument that functions using such energy sources. Since the first successful use of a similar device for removing a liver tumor was performed in September 2005, new hopes and horizons have been generated for the laparoscopic approach. We report our initial experience of using such a device for laparoscopic liver resections in our center.