Okabayashi Takehiro, Kobayashi Michiya, Akimori Toyokazu, Akisawa Naoaki, Iwasaki Shinji, Onishi Saburo, Araki Keijiro
Department of Tumor Surgery, Kochi Medical School, Kohasu-Okocho, Nankoku-City, Kochi, Japan.
Surg Technol Int. 2005;14:177-81.
Our intent was to evaluate whether laparoscopic radiofrequency ablation for patients with unresectable hepatocellular carcinoma and a high degree of liver damage has a role to play in the management of the disease. Laparoscopic and hand-assisted laparoscopic radiofrequency ablations were performed on five patients and the short-range outcome and complications of these patients were evaluated. The evaluation of the primary liver tumor by the radiofrequency ablation was carried out by computed tomography on the seventh day after surgery. Three patients underwent laparoscopic radiofrequency ablation, and the other two patients underwent hand-assisted laparoscopic radiofrequency ablation. The Child-Pugh status of all tumors was B status, and one patient had complications due to postoperative ascites. Laparoscopic and hand-assisted laparoscopic radiofrequency ablation with a cooled-tip electrode needle was found to be a safe and effective local treatment of hepatic focal lesions.
我们的目的是评估对于无法切除的肝细胞癌且肝损伤程度较高的患者，腹腔镜射频消融在该疾病管理中是否能发挥作用。对5例患者进行了腹腔镜和手辅助腹腔镜射频消融，并评估了这些患者的近期结局和并发症。术后第7天通过计算机断层扫描对原发性肝肿瘤进行射频消融评估。3例患者接受了腹腔镜射频消融，另外2例患者接受了手辅助腹腔镜射频消融。所有肿瘤的Child-Pugh分级均为B级，1例患者因术后腹水出现并发症。使用冷循环电极针进行腹腔镜和手辅助腹腔镜射频消融被发现是一种安全有效的肝局灶性病变局部治疗方法。
