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肝细胞癌射频消融治疗后并发胆肠瘘

[Biliary-duodenal fistula following radiofrequency ablation therapy for hepatocellular carcinoma].

作者信息

Park Seong Gill, Park Sung Jae, Koo Ho Suk, Park Sang Won, Park Eun Tack, Lee Youn Jae, Lee Sang Hyuk, Seol Sang Young

机构信息

Department of Internal Medicine, Inje University College of Medicine, Busan, Korea.

出版信息

Korean J Gastroenterol. 2008 Mar;51(3):199-203.

Abstract

Hepatocellular carcinoma (HCC) is one of the most common malignant neoplasms occurring worldwide. Surgical resection currently provides the best chance of long-term tumor free survival, but the most HCCs are not candidates for surgical excision due to poor liver function or poor medical background. Numerous noninvasive alternatives to surgical resection have been introduced to treat liver cancers. Radiofrequency thermal ablation has begun to receive much attention as an effective and minimally invasive technique for the local control of HCC. The biliary system related complications after radiofrequency ablation has rarely been reported. We report a case of biliary-duodenal fistula with liver abscess after radiofrequency ablation for HCC. The case was treated by abscess drainage and antibiotics.

摘要

肝细胞癌(HCC)是全球最常见的恶性肿瘤之一。手术切除目前提供了长期无瘤生存的最佳机会,但由于肝功能差或身体状况不佳,大多数肝细胞癌患者不适合手术切除。已经引入了许多手术切除的非侵入性替代方法来治疗肝癌。射频热消融作为一种用于局部控制肝细胞癌的有效且微创的技术,已开始受到广泛关注。射频消融术后与胆道系统相关的并发症鲜有报道。我们报告一例肝细胞癌射频消融术后并发肝脓肿和胆十二指肠瘘的病例。该病例通过脓肿引流和使用抗生素进行治疗。

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