Thermal ablation for hepatic tumors in high-risk locations - 07/03/24
Highlights |
• | Artificial ascites, non-touch multibipolar ablation, and laparoscopy-assisted thermal ablation can be used to improve ablation outcomes for subcapsular tumors. |
• | For perivascular tumors, no-touch multi-applicator and microwave ablation techniques are less prone to the heat-sink effect. The heat-sink effect can be decreased further by performing the Pringle maneuver during laparoscopy-assisted thermal ablation. |
• | For peribiliary tumors, intraductal chilled fluid perfusion through a nasobiliary duct can be performed to improve the outcomes of thermal ablation. |
• | Cryoablation and Irreversible electroporation are relatively new ablation techniques that can be used as alternatives to overcome the limitations of RF and MW ablation for perivascular and peribiliary tumors. |
Abstract |
Thermal ablative techniques such as radiofrequency and microwave ablation are minimally invasive and cost-effective approaches that are currently being adopted as alternatives to surgical resection for primary and metastatic liver malignancies. However, they are considered to be relatively contraindicated for tumors in high-risk locations due to technical difficulties and a perceived increased risk of perioperative complications. Several techniques, including artificial ascites, non-touch multibipolar ablation, and laparoscopically assisted ablation, can be used to improve the outcomes of ablation for high-risk tumors. This review aims to provide a comprehensive summary of the techniques currently used to improve thermal ablation outcomes for high-risk liver tumors.
Le texte complet de cet article est disponible en PDF.Keywords : Liver tumor, Subcapsular, Perivascular, Peribiliary, Ablation, Thermal, Microwave, Radiofrequency
Abbreviations : AA, CT, D5, DTP, HCC, ICSP, IRE, LATA, LLR, LMWA, LRFA, LT, LTP, NS, NTMBP-A, NTMBP-MWA, NTMBP-RFA, PRFA, PTA, TA, US
Plan
Vol 48 - N° 3
Article 102300- mars 2024 Retour au numéro
Article précédent
- Progress in the treatment and prevention of esophageal stenosis after endoscopic submucosal dissection
- Yangyang Duan, Wenxiu Jia, Ying Liang, Xiuning Zhang, Zhufeng Yang, Qian Yang
- Comparison between the effect of Empagliflozin and Pioglitazone added to metformin in patients with type 2 diabetes and nonalcoholic fatty liver disease
- Laya Hooshmand Gharabagh, Ali Shargh, Mohammad Reza Mohammad Hosseini Azar, Ayda Esmaeili
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?