Department of Radiology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, 1066 CX, Amsterdam, The Netherlands.
Cardiovasc Intervent Radiol. 2012 Jun;35(3):695-9. doi: 10.1007/s00270-011-0281-0. Epub 2011 Oct 20.
Percutaneous radiofrequency ablation (RFA) has gained wide acceptance as nephron-sparing therapy for small renal masses in select patients. Generally, it is a safe procedure with minor morbidity and acceptable short-term oncologic outcome. However, as a result of the close proximity of vital structures, such as the bowel, ureter, and large vessels, to the ablative field, complications regarding these structures may occur. This is the first article describing appendiceal perforation as a complication of computed tomography-guided RFA despite hydrodissection. When performing this innovative and promising procedure one should be aware of the possibility of particular minor and even major complications.
经皮射频消融（RFA）已被广泛接受，成为某些患者小肾肿瘤保肾治疗的方法。通常，它是一种安全的程序，具有较小的发病率和可接受的短期肿瘤学结果。然而，由于重要结构（如肠、输尿管和大血管）靠近消融区域，可能会发生与这些结构相关的并发症。尽管进行了水分离，但这是第一篇描述阑尾穿孔作为 CT 引导下 RFA 并发症的文章。在进行这项创新且有前途的手术时，应意识到可能出现特定的轻微甚至严重并发症。
