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Case Reports
. 2022 Mar 15;9(3):418.
doi: 10.3390/children9030418.

Liver Resection Using Saline-Linked Radiofrequency Technology in an Infant with Congenital Hepatoblastoma

Giovanni Torino  1   2 , Michele Ilari  1 , Edoardo Bindi  1 , Francesca Mariscoli  1 , Giovanni Cobellis  1   2
Affiliations
Case Reports

Liver Resection Using Saline-Linked Radiofrequency Technology in an Infant with Congenital Hepatoblastoma

Giovanni Torino et al. Children (Basel). .

Abstract

We herein report a case of giant congenital hepatoblastoma in a 3-month-old male treated with neoadjuvant chemotherapy and hepatic resection. After considerable reduction of the tumor with chemotherapy, a right bloodless hemihepatectomy using saline-linked radiofrequency technology (SLRT) and without clamping of the hepatic pedicle was performed. Intraoperative blood loss was minimal, and consequently, no blood transfusions were required. The surgery lasted 140 min, and SLRT was used for a total of 60 min. No complications were observed during or after the surgery. In conclusion, congenital hepatoblastoma is a very rare cancer for which surgery is an essential therapeutic step, and in our presented case, we showed that SLRT allowed for a safe and effective bloodless liver resection.

Keywords: bloodless resection; dissecting sealer; floating ball; pediatric age; transcollation.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Legend—CT scan: marked reduction in the liver mass (image on the left before treatment) after chemotherapy (image on the right).
Figure 2
Figure 2
Total body MRI at 6 months follow-up showing no recurrence of disease.
See this image and copyright information in PMC

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