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Czasopismo
2008 | 3 | 3 | 370-373
Tytuł artykułu

A five-year disease-free survival after combined hepatectomy and radiofrequency ablation of large hepatocellular carcinoma adjacent to vena cava

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Destroying the hepatic tumor located close to the large vessels is a major limiting factor of radiofrequency ablation (RFA) that is difficult to overcome. A long-term disease-free survival after combined hepatectomy and radiofrequency ablation of a large hepatic tumor adjacent to vena cava has not been previously published. We report a patient with a 23-cm large hepatocellular carcinoma occupying the left lateral segments and a 6-cm contralateral intrahepatic metastasis in Couinaud segments VII–VIII adjacent to the retrohepatic IVC, treated with a combination of resection of the larger tumor and intraoperative radiofrequency ablation of the paracaval tumor under intermittent total vascular exclusion of the right hemiliver. After five years of follow up the patient is disease free. This case demonstrates the importance of vascular control for eliminating the heat sink effect of caval blood flow during RFA of liver tumors adjacent to inferior vena cava.
Wydawca

Czasopismo
Rocznik
Tom
3
Numer
3
Strony
370-373
Opis fizyczny
Daty
wydano
2008-09-01
online
2008-07-10
Twórcy
  • First Department of Surgery, Thracian University Hospital, 6000, Stara Zagora, Bulgaria, a_julianov@yahoo.com
autor
  • First Department of Surgery, Thracian University Hospital, 6000, Stara Zagora, Bulgaria
  • First Department of Surgery, Thracian University Hospital, 6000, Stara Zagora, Bulgaria
Bibliografia
  • [1] Mulier S., Ni Y., Jamart J., Ruers T., Marchal G., Michel L. Local recurrence after hepatic radiofrequency coagulation: multivariate meta-analysis and review of contributing factors. Ann Surg, 2005, 242, 158–171 http://dx.doi.org/10.1097/01.sla.0000171032.99149.fe[Crossref]
  • [2] Gillams A.R., Lees W.R. The importance of large vessel proximity in thermal ablation of liver tumours. Radiology, 1999, 213(suppl), 123
  • [3] Raut C.P., Izzo F., Marra P., Ellis L.M., Vauthey J.N., Cremona F. et al. Significant long-term survival after radiofrequency ablation of unresectable hepatocellular carcinoma in patients with cirrhosis. Ann Surg Oncol, 2005, 12, 616–628 http://dx.doi.org/10.1245/ASO.2005.06.011[Crossref]
  • [4] Choi D., Lim H.K., Joh J.W., Kim S.J., Kim M.J., Rhim H. et al. Combined hepatectomy and radiofrequency ablation for multifocal hepatocellular carcinomas: long-term follow-up results and prognostic factors. Ann Surg Oncol, 2007, 14, 3510–3518 http://dx.doi.org/10.1245/s10434-007-9492-7[Crossref]
  • [5] Pandey D., Lee K.H., Wai C.T., Wagholikar G., Tan K.C. Long term outcome and prognostic factors for large hepatocellular carcinoma (10 cm or more) after surgical resection. Ann Surg Oncol, 2007, 14, 2817–2823 http://dx.doi.org/10.1245/s10434-007-9518-1
  • [6] Sutherland L.M., Williams J.A.R., Padbury R.T.A., Gotley D.C, Stokes B., Maddern G.J. Radiofrequency ablation of liver tumors: a systematic review. Arch Surg, 2006, 141, 181–190 http://dx.doi.org/10.1001/archsurg.141.2.181[Crossref]
  • [7] Lu D.S., Raman S.S., Vodopich D.J., Wang M., Sayre J., Lassman C. Effect of vessel size on creation of hepatic radiofrequency lesions in pigs: assessment of the ‘heat sink’ effect. Am J Roentgenol, 2002, 178, 47–51
  • [8] Elias D., Lasser P., Debaene B., Diody L., Billard V., Spencer A., Leclercq B. Intermittent vascular exclusion of the liver (without vena cava clamping) during major hepatectomy. Br J Surg, 1995, 82, 1535–1539 http://dx.doi.org/10.1002/bjs.1800821126[Crossref]
  • [9] Seyama Y., Makuuchi M., Sano K., Kaneko J., Takayama T. Intermittent total vascular exclusion in removing caudate lobe tumor with tumor thrombus in the vena cava. Surgery, 2002, 131, 574–576 http://dx.doi.org/10.1067/msy.2002.123479[Crossref]
  • [10] Tungjitkusolmun S., Staelin S.T., Haemmerich D., Tsai J.Z., Webster J.G., Lee F.T. et al. Three-Dimensional finite-element analyses for radiofrequency hepatic tumor ablation. IEEE Trans Biomed Eng, 2002, 49, 3–9 http://dx.doi.org/10.1109/10.972834[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0030-1
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