Warren Alpert School of Medicine, Brown University, Providence, Rhode Island 02903, USA.
J Surg Oncol. 2010 Dec 15;102(8):978-87. doi: 10.1002/jso.21658.
Radiofrequency ablation (RFA) may be performed intraoperatively, laparoscopically, or percutaneously. The percutaneous approach is associated with the least procedural risk and may be performed under local anesthesia. Percutaneous RFA should be considered a primary treatment option for patients with unresectable hepatic tumors or conditions that prohibit general anesthesia or abdominal surgery. Continually improving thermal ablation and imaging technologies are likely to further increase tumor ablation efficacy and expand its role in treatment of hepatic metastases.
射频消融（RFA）可以在手术中、腹腔镜下或经皮进行。经皮方法与最低的程序风险相关，并且可以在局部麻醉下进行。对于无法切除的肝肿瘤或不能接受全身麻醉或腹部手术的患者，经皮 RFA 应被视为主要治疗选择。不断改进的热消融和成像技术可能会进一步提高肿瘤消融效果，并扩大其在肝转移治疗中的作用。
