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消融技术。

Ablation technologies.

作者信息

Ergun Onuralp, Elshamy Mohammed, Berber Eren

机构信息

Department of Endocrine Surgery, Cleveland Clinic, Cleveland, OH.

Departments of Endocrine and General Surgery, Cleveland Clinic, Cleveland, OH.

出版信息

Surg Open Sci. 2022 Jul 22;10:59-68. doi: 10.1016/j.sopen.2022.07.006. eCollection 2022 Oct.

DOI:10.1016/j.sopen.2022.07.006
PMID:36016769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9395664/
Abstract

Ablative therapies have recently emerged as an alternate to the gold-standard liver resection in treatment of malignant liver tumors. These modalities include radiofrequency ablation and microwave ablation which utilize thermocoagulative energy and microwave energy, respectively, to create a complete necrosis zone encircling the lesion. In this review, we aimed to show different perspectives of these treatment methods including indications, outcomes, surgical techniques, and perioperative management.

摘要

消融治疗最近已成为治疗恶性肝肿瘤的金标准肝切除术的替代方法。这些方式包括射频消融和微波消融，它们分别利用热凝能量和微波能量在病变周围形成一个完整的坏死区。在本综述中，我们旨在展示这些治疗方法的不同视角，包括适应症、治疗结果、手术技术和围手术期管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/effb0a00a3de/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/9f607016b641/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/df02fb2028d4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/6904d0249cd9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/f4e0f73c9de8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/7a87a3ee49fb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/4d38a6fea73e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/2647d6f83b12/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/bc87cf48c108/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/95fcf086670f/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/39882bef6a5d/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/1e384268057a/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/f23c0630fee6/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/effb0a00a3de/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/9f607016b641/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/df02fb2028d4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/6904d0249cd9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/f4e0f73c9de8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/7a87a3ee49fb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/4d38a6fea73e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/2647d6f83b12/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/bc87cf48c108/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/95fcf086670f/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/39882bef6a5d/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/1e384268057a/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/f23c0630fee6/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a1/9395664/effb0a00a3de/gr13.jpg

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本文引用的文献

1
Impact of ablation algorithm versus tumor-dependent parameters on local control after microwave ablation of malignant liver tumors.消融算法与肿瘤相关参数对恶性肝肿瘤微波消融后局部控制的影响。
J Surg Oncol. 2021 Jan;123(1):179-186. doi: 10.1002/jso.26237. Epub 2020 Sep 25.
2
Role of thermal ablation in the management of colorectal liver metastasis.热消融在结直肠癌肝转移治疗中的作用。
Hepatobiliary Surg Nutr. 2020 Feb;9(1):49-58. doi: 10.21037/hbsn.2019.06.08.
3
Outcomes of laparoscopic tumor ablation for neuroendocrine liver metastases: a 20-year experience.
腹腔镜肿瘤消融治疗神经内分泌肝脏转移瘤的 20 年经验总结。
Surg Endosc. 2020 Jan;34(1):249-256. doi: 10.1007/s00464-019-06759-1. Epub 2019 Apr 3.
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Local recurrence after microwave thermosphere ablation of malignant liver tumors: results of a surgical series.微波热疗消融治疗肝脏恶性肿瘤后的局部复发：外科系列研究结果。
Surgery. 2018 Apr;163(4):709-713. doi: 10.1016/j.surg.2017.10.026. Epub 2017 Dec 19.
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Local recurrence after laparoscopic radiofrequency ablation of malignant liver tumors: Results of a contemporary series.腹腔镜射频消融治疗恶性肝肿瘤后的局部复发：当代系列研究结果
J Surg Oncol. 2017 Jun;115(7):830-834. doi: 10.1002/jso.24599. Epub 2017 Mar 20.
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Efficacy of laparoscopic radiofrequency ablation for the treatment of patients with small solitary colorectal liver metastasis.腹腔镜射频消融治疗小的单发结直肠肝转移瘤的疗效。
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Complementary use of resection and radiofrequency ablation for the treatment of colorectal liver metastases: an analysis of 395 patients.切除联合射频消融治疗结直肠癌肝转移：395 例患者分析。
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Resection and radiofrequency ablation in the treatment of hepatocellular carcinoma: a single-center experience.切除与射频消融治疗肝细胞癌：单中心经验。
Surg Endosc. 2012 Apr;26(4):990-7. doi: 10.1007/s00464-011-1983-8. Epub 2011 Oct 25.
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Laparoscopic radiofrequency thermal ablation of neuroendocrine hepatic metastases: long-term follow-up.腹腔镜下射频热消融治疗神经内分泌肝脏转移瘤：长期随访。
Surgery. 2010 Dec;148(6):1288-93; discussion 1293. doi: 10.1016/j.surg.2010.09.014.
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Laparoscopic radiofrequency ablation of unresectable hepatocellular carcinoma: long-term follow-up.腹腔镜射频消融治疗不可切除的肝细胞癌：长期随访。
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