Stella M, Percivale A, Pasqualini M, Serafini G, Pellicci R
Department of Surgery, Santa Corona Hospital, Pietra Ligure (SV), Italy.
Ann Ital Chir. 2004 Sep-Oct;75(5):537-9.
Radiofrequency thermoablation (RFA) is used to treat unresectable liver tumours. RFA is performed using an abdominal access (laparotomic, laparoscopic and percutaneous). A transpleurodiaphragmatic approach has recently been proposed, particularly for the treatment of tumours which are placed near to inferior vein cava and hepatic veins and which are difficult to reach for an abdominal access. A patient with a liver metastasis of the segment VIII underwent RFA with an associated wedge resection of the segment VII, both were performed with a transthoracic access. Peri- and postoperative complications did not occurred. The patient was discharged on fifth postoperative day, and she is disease free after a follow up of 6 months. A transpleurodiaphragmatic access can be considered a safe and efficacy procedure to perform an RFA of a liver tumour in selected cases.
射频热消融（RFA）用于治疗无法切除的肝肿瘤。RFA通过腹部入路（剖腹手术、腹腔镜手术和经皮穿刺）进行。最近有人提出经胸膜膈肌入路，特别是用于治疗靠近下腔静脉和肝静脉且腹部入路难以到达的肿瘤。一名Ⅷ段肝转移患者接受了RFA并联合Ⅶ段楔形切除术，两者均通过经胸入路进行。围手术期和术后均未发生并发症。患者术后第5天出院，随访6个月后无疾病复发。在某些特定病例中，经胸膜膈肌入路可被视为一种安全有效的肝肿瘤RFA手术方法。
