Seicean R, Binţinţan V, Seicean A, Scurtu R, Ciuce C
First Surgical Clinic, University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania.
Chirurgia (Bucur). 2011 Mar-Apr;106(2):247-9.
There are no data in the literature on the use of radiofrequency ablation (RFA) in emergency laparoscopy as a means of hemostasis after liver biopsy. In this case report we have described a case of a patient with Waldenstrom macroglobulinemia and hypervascularised hepatic tumor who developed severe hepatic bleeding after liver biopsy. Innovative, minimally invasive treatment consisted in a laparoscopic approach with introduction of RFA needle into the biopsy site, followed by immediate hemostasis with no complications. Laparoscopic surgery with RFA avoids unnecessary laparotomy in case of severe bleeding from a known source. It is therefore the optimal choice, even in patients for whom percutaneous biopsy would be a high-risk procedure.
文献中没有关于在急诊腹腔镜检查中使用射频消融（RFA）作为肝活检后止血手段的数据。在本病例报告中，我们描述了一例患有华氏巨球蛋白血症和肝脏肿瘤血管丰富的患者，该患者在肝活检后发生了严重的肝出血。创新的微创治疗方法是采用腹腔镜方法，将RFA针插入活检部位，随后立即止血，且无并发症。在已知来源严重出血的情况下，采用RFA的腹腔镜手术可避免不必要的剖腹手术。因此，即使对于经皮活检属于高风险手术的患者，这也是最佳选择。
