Efficacy and safety of radiofrequency ablation of hepatocellular carcinoma in the hepatic dome with the CT-guided extrathoracic transhepatic approach

The purpose of this study was to determine the efficacy and safety of radiofrequency (RF) ablation for the treatment of hepatocellular carcinoma (HCC) in the hepatic dome with CT-guided extrathoracic transhepatic approach. Fifteen patients with 15 HCCs (size range: 0.8–4 cm, mean size: 1.8 cm) in th...

Full description

Saved in:
Bibliographic Details
Published in:European journal of radiology 2006-10, Vol.60 (1), p.100-107
Main Authors: Kim, Young Kon, Kim, Chong Soo, Lee, Jeong Min, Chung, Gyung Ho, Chon, Su Bin
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Carcinoma, Hepatocellular - diagnostic imaging
Carcinoma, Hepatocellular - surgery
Catheter Ablation - adverse effects
Catheter Ablation - methods
Female
Gastroenterology. Liver. Pancreas. Abdomen
Guidance
Humans
Liver neoplasm
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - surgery
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Radiofrequency (RF) ablation
Surgery, Computer-Assisted - methods
Therapy
Tomography, X-Ray Computed - methods
Treatment Outcome
Tumors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The purpose of this study was to determine the efficacy and safety of radiofrequency (RF) ablation for the treatment of hepatocellular carcinoma (HCC) in the hepatic dome with CT-guided extrathoracic transhepatic approach. Fifteen patients with 15 HCCs (size range: 0.8–4 cm, mean size: 1.8 cm) in the hepatic dome were treated by RF ablation using cooled-tip electrodes and with CT-guided extrathoracic transhepatic approach. Therapeutic response of the tumor to RF ablation and procedure-related complications including hepatic injury, hemoperitoneum, and thermal injury of diaphragm were evaluated. The average number of needle punctures to ensure the correct needle position in the targeted tumor was 3.7 (range: 1–6 punctures). The average ablation time was 14.7 min (range: 8–25 min). Complete necrosis without marginal recurrence after at least 13-month follow-up was attained in 13 tumors (86.7%). There were no major complications related to the procedures. Six patients had shoulder pain that lasted three days to two weeks after the procedures and their symptoms were resolved with conservative treatment. RF ablation using CT-guided extrathoracic transhepatic approach is an effective and safe technique for the treatment of HCC in the hepatic dome.
ISSN:0720-048X
1872-7727
DOI:10.1016/j.ejrad.2006.05.002