Technical measures to promote the efficacy of radiofrequency ablation for hepatocellular carcinoma: from the surgeon's perspective
10.3760/cma.j.issn.1007-8118.2011.07.006
- VernacularTitle:提升肝细胞癌射频消融疗效的技术性措施:外科视角
- Author:
Wenbing SUN
;
Xuemei DING
;
Jun GAO
;
Shan KE
;
Shaohong WANG
;
Jian KONG
- Publication Type:Journal Article
- Keywords:
Carcinoma,hepatocellular;
Radiofrequency ablation;
Efficacy;
Technique;
Perspective,surgical
- From:
Chinese Journal of Hepatobiliary Surgery
2011;17(7):534-538
- CountryChina
- Language:Chinese
-
Abstract:
Radiofrequency ablation (RFA) has been recognized as a curative therapeutic modality for hepatocellular carcinoma (HCC) for its increasing efficacy in the recent more than ten years. However, RFA has not been generally carried out in our country and the efficacy still waits for improvement. This paper presents a systemic discussion on the technical measures to promote the efficacy of RFA for HCC from the surgeon's perspective, aiming to provide technical standard and reference for the further popularization and application of RFA in China. The 13 measures include clarification of the tumor location and extent, following the indications and contraindications of RFA, scientific application of pretreatments, selection of the best approach of RFA and of the reasonble guiding method for percutaneous RFA, selection of suitable RFA probe, adequate analgesia, sufficient ablative margin to guarantee pathological complete ablation,optimization of ablaiton strategy, active prevention, diagnosis and treatment of complications, correct evaluation of complete ablation, standadized follow-up and selection of RFA to treat the local tumor progression and intrahepatic occurrence.
