Efficacy evaluation of laparoscopy assisted ultrasound guided radiofrequency ablation in the treatment of hepatocellular carcinoma beneath the diaphragm
10.11855/j.issn.0577-7402.2017.05.16
- VernacularTitle:腹腔镜辅助超声引导下射频消融治疗膈顶部原发性肝细胞癌疗效评价
- Author:
Song WANG
;
Jian FENG
;
Yongwei CHEN
;
Xun WANG
;
Ying LUO
;
Kai JIANG
- Keywords:
radiofrequency ablation;
laparoscopy;
carcinoma,hepatocellular
- From:
Medical Journal of Chinese People's Liberation Army
2017;42(5):452-455
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility,safety and efficacy of laparoscopy assisted ultrasound guided radiofrequency ablation (RFA) in the treatment of hepatocellular carcinoma (HCC) beneath the diaphragm.Methods Twentythree consecutive patients with solitary HCC beneath the diaphragm were treated by laparoscopy assisted ultrasound guided RFA in the Chinese PLA General Hospital from January 2013 to March 2016.We observed the p erioperative complications and followedup long-term effect.Results All the 23 patients successfully underwent laparoscopy assisted ultrasound guided radiofrequency ablation.No serious complications such as massive hemorrhage,biliary fistula and severe pleural effusion,hemopneumothorax occurred in the patients during perioperative period.CT examination 2-3 days after the operation revealed that the tumor was completely covered by the ablation area.Besides,the survival condition was satisfactory during follow-up period of 9-38 months.Conclusion Laparoscopy-assisted ultrasound-guided radiofrequency ablation is effective and safe for HCC beneath the diaphragm.
