Ultrasound-Guided Radiofrequency Ablation of Liver Tumors — Analysis of Immediate Outcomes at Gomel Regional Clinical Oncology Center
https://doi.org/10.51523/2708-6011.2020-17-1-2
Abstract
Objective: to systematize the existing techniques of ultrasound-guided percutaneous radiofrequency ablation.
Materials. The research subjects were 34 patients with focal liver malignancies who had undergone radiofrequency ablation at Gomel Regional Clinical Oncology Center from 2014 to 2019.
Results. The data about the existing techniques of ultrasound-guided percutaneous radiofrequency ablation have been systematized. The possibilities to increase the ablation efficiency of the liver tumor foci have been determined. The main components of the treatment algorithm that allow to achieve the best ablation results have been identified.
Conclusion. Strict adherence to the described techniques of radiofrequency ablation which takes into account tumor vascularisation makes it possible to achieve complete necrosis of the foci with no complications in 82.4 % of the patients, and minor complications that do not require therapy in 17.7 % of the patients [9].
About the Authors
K. L. Murashko
Gomel Regional Clinical Oncology Center
Belarus
Belarus
Murashko K.L., physician at the Department of Ultrasound Diagnostics of the health institution "Gomel Regional Clinical Oncology Center"
V. G. Sorokin
Pirogov Russian National Research Medical University
Belarus
Belarus
Sorokin V.G., surgeon at the Roentgen-endovascular Surgery Ward, Pirogov Russian National Research Medical University (RNRMU) Russian Federation, Moscow
References
1. Truty MJ, Vauthey J-N. Surgical resection of high-risk hepatocellular carcinoma: patient selection, preoperative consid-erations, and operative technique. Ann Surg Oncol. 2010;17:1219-25.
2. Gillams AR. Radiofrequency ablation in the manage-ment of livertumors. Eur J Surg Oncol. 2003;29(1):9-16.
3. Патютко ЮИ, Чучуев ЕС, Подлужный ДВ, Поляков АН, Агафонова МГ. Хирургическая тактика в лечении боль-ных колоректальным раком с синхронными метастазами в пе-чень. Онкол Колопрокт. 2011;(2):13-19.
4. Liu LX, Zhang WH, Jiang HC. Current treatment for liver metastases from colorectal cancer. World J Gastroenterol. 2003;(9):193-200.
5. Патютко ЮИ, Пылев АЛ Диагностика и лечение ме-тастазов колоректального рака в печени. Рос Мед Журн. 2009;(22):1505.
6. Гранов АМ, Давыдов МИ, Таразов ПГ. Инревенцион-ная радиология в онкологии (пути развития и технологии). СПб, РФ: Фолиант, 2007.
7. Lencioni R, Crocetti L. Locoregional treatment of hepa-tocellular carcinoma. Radiology. 2012;262:43-58.
8. Nagata Y, Hiraoka M, Nishimura Y. Clinical results of radiofrequency hyperthermia for malignant liver tumors. Int J Radiat Oncol Biol. 1997;(38):359-65.
9. Siperstein AE, Garland A, Engle K. Laparoscopic ra-diofrequency ablation of primary and metastatic liver tumors: technical considerations. Surg Endosc. 2000:(14):400-405.
10. Gillams AR, Lees WR. Radiofrequency ablation of colorectal liver metastases in 167 patients. Eur Radiol. 2004;(12):2261-67.
11. Livraghi T, Solbiati L, Meloni F. Percutaneous radiof-requency ablation of liver metastases in potential candidates for resection: the «test-of-time approach». Cancer. 2003;(97):3027-35.
12. Долгушин БИ, Косырев ВЮ. Радиочастотная тер-моабляция опухолей. Под ред. МИ Давыдова. Практическая Медицина. 2007;192 c.
13. Ellis LM, Curley SA, Tanabe KK. Radiofrequency ab-lation for cancer: current indications, technique and outcomes. 2004; 227-53.
14. Lu, David SK, Steven S Raman, Darko J Vodopich, Michael Wang, James Sayre, and Charles Lassman. "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.
15. Tatli S, Tapan U, Morrison PR, Silverman SG. Radiof-requency ablation: technique and clinical applications. Diagn Interv Radiol. 2012;(18):508-16.
16. Вишневский ВА, Федоров АВ, Ионкин ДА, Жаво-ронкова ОИ. Осложнения радиочастотной термоабляции зло-качественных новообразований печени. Хирургия. 2010;(2):18-29.
Review
For citations:
Murashko K.L., Sorokin V.G. Ultrasound-Guided Radiofrequency Ablation of Liver Tumors — Analysis of Immediate Outcomes at Gomel Regional Clinical Oncology Center. Health and Ecology Issues. 2020;(1):10-13. (In Russ.) https://doi.org/10.51523/2708-6011.2020-17-1-2
Views: 318
Email this article 