Laparoscopic ultrasound with radiofrequency ablation of hepatic tumors in cirrhotic patients

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Ibrahim A SalamaAhmed El-Refaie

Abstract

The optimal treatment for hepatocellular carcinoma (HCC) is surgical resection. However, only a small percentage of patients are operative candidates due to associated liver cirrhosis. Recent advances in laparoscopic ultrasound and laparoscopy have greatly improved the accuracy in detecting intrahepatic tumor nodules, many of which were missed by preoperative imaging modality. The aim of this work was for an evaluation of the safety and efficacy of laparoscopic radiofrequency ablation (RFA) guided with laparoscopic ultrasound in detecting and treatment of liver tumors in patient with liver cirrhosis. Seventy-two patients with liver tumors (58 HCC, 9 metastatic adencarcinoma, 2 neoendocrine metastasis, 3 other metastasis) were submitted to laparoscopic RFA under laparoscopic ultrasound guidance. Forty-four patients (61.1%) were classified Child A and 28 patients (38.9%) Child B. Patients with large tumor (>6 cm), portal vein thrombosis, or Child C class were excluded from the study. Laparoscopic RFA was completed in all patients without any conversion rate. Laparoscopic ultrasound identified 19 new malignant lesions (18.4%), in comparison with the result of preoperative imaging. A total of 103 hepatic focal lesions were treated ...Continue Reading

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Citations

Feb 21, 2013·Gut and Liver·Yasunori Minami, Masatoshi Kudo
Oct 14, 2011·International Journal of Hepatology·Yasunori Minami, Masatoshi Kudo
Apr 24, 2020·International Journal of Computer Assisted Radiology and Surgery·Xinyang LiuRaj Shekhar
Apr 13, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Anna RethyRonald Mårvik

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Methods Mentioned

BETA
surgical resection
biopsy

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