Morimoto Naoki, Isoda Norio, Watanabe Shunji, Otake Toshiya, Hirosawa Takuya, Tsukui Mamiko, Miyata Natsumi, Murayama Kozue, Iwashita Chihiro, Takaoka Yoshinari, Yamamoto Hironori
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Jichi Medical University, Yakushiji 3311-1, Shimotsuke, Tochigi, 329-0498, Japan,
Clin J Gastroenterol. 2014 Dec;7(6):510-5. doi: 10.1007/s12328-014-0531-1. Epub 2014 Oct 9.
A 77-year-old man with hepatocellular carcinoma was admitted to our institution. Computed tomography revealed two nodules, one at the surface and one within the liver, ≤3 cm in diameter. We performed laparoscopic radiofrequency ablation using a bipolar system with a "no-touch ablation" procedure using multiple applicators for insertion, not into the tumor directly, but to the perimeter of the tumor. A sufficient ablated area was obtained regardless of tumor location. No operative complications were encountered and adequate therapeutic effect was achieved safely. Laparoscopic multipolar radiofrequency ablation is a feasible procedure for treating hepatocellular carcinoma.
一名77岁的肝细胞癌男性患者入住我院。计算机断层扫描显示有两个结节，一个位于肝脏表面，一个位于肝内，直径≤3厘米。我们使用双极系统进行腹腔镜射频消融，采用“非接触式消融”程序，使用多个施药器插入，不是直接插入肿瘤，而是插入肿瘤周边。无论肿瘤位置如何，均获得了足够的消融区域。未出现手术并发症，安全地实现了充分的治疗效果。腹腔镜多极射频消融是治疗肝细胞癌的一种可行方法。
