Montorsi M, Santambrogio R, Bianchi P, Opocher E, Tagliaferri B, Zuin M, Bertolini E, Podda M
Istituto di Chirurgia Generale e Oncologia Chirurgica-Ospedale Maggiore IRCCS, Milan, Italy.
Hepatogastroenterology. 2001 Jan-Feb;48(37):41-5.
BACKGROUND/AIMS: In this report, the feasibility and efficacy of laparoscopic radiofrequency interstitial thermal ablation of hepatocellular carcinoma has been evaluated in 20 patients.
The laparoscopic approach with the use of intraoperative ultrasonography allowed us to obtain additional information regarding liver nodules and a complete treatment of the liver lesions.
The complication rate was low and there was no operative mortality. A complete necrosis has been obtained in 90% of the cases at 1 month dynamic computed tomography following the treatment.
Laparoscopic radiofrequency thermal ablation of hepatocellular carcinoma proved to be a safe and effective technique; its use may be proposed in selected patients. Larger series are needed to accurately assess its role among the other ablative therapies of hepatocellular carcinoma.
背景/目的：在本报告中，对20例肝细胞癌患者进行了腹腔镜下射频间质热消融术的可行性和疗效评估。
采用腹腔镜手术并结合术中超声检查，使我们能够获取有关肝结节的更多信息，并对肝脏病变进行彻底治疗。
并发症发生率低，无手术死亡病例。治疗后1个月动态计算机断层扫描显示，90%的病例实现了完全坏死。
腹腔镜下肝细胞癌射频热消融术被证明是一种安全有效的技术；可在选定患者中应用。需要更大规模的系列研究来准确评估其在肝细胞癌其他消融治疗中的作用。
