经皮联合开腹微波消融术治疗多发危险部位肝脏转移瘤疗效分析*

doi:10.3969/j.issn.1672-5069.2015.02.004

实用肝脏病杂志 ›› 2015, Vol. 18 ›› Issue (3): 233-236.doi: 10.3969/j.issn.1672-5069.2015.02.004

经皮联合开腹微波消融术治疗多发危险部位肝脏转移瘤疗效分析^*

葛勇胜, 马金良, 荚卫东, 余继海, 马华星, 束青华

230001 合肥市安徽省立医院肝脏外科/肝胆胰安徽省重点实验室

收稿日期:2014-12-18 出版日期:2015-05-10 发布日期:2016-02-19
作者简介:葛勇胜,男,42岁,医学博士,副主任医师。研究方向：肝癌转移与复发。E-mail: sygys@139.com
基金资助:
安徽省自然科学基金资助项目（编号：1302085MH147）

Percutaneous and open-approach microwave ablation in the treatment of a patient with colon cancer and multiple hepatic metastases

Ge Yongsheng, Ma Jinliang, Jia Weidong, et al.

Department of Hepatic Surgery,Anhui Province Key Laboratory of Hepatopancreatobiliary Surgery,Provincial Hospital,Affiliated to Anhui Medical University,Hefei 230001

Received:2014-12-18 Online:2015-05-10 Published:2016-02-19

摘要/Abstract

摘要： 目的评价经皮联合开腹消融术治疗多发危险部位肝脏转移瘤的有效性及安全性。方法在全麻下采用经皮联合开腹微波消融术治疗1例男性59岁结肠癌并发多个危险部位肝脏转移瘤患者,其危险部位病灶（0.9 cm×0.8 cm）位于肝右静脉与肝中静脉夹角处,毗邻心脏和下腔静脉,采取开腹微波消融治疗;对另2处非危险部位病灶（1.4 cm×0.9 cm和3.0 cm×2.8 cm）采取经皮微波消融治疗,观察术后并发症及肿瘤复发情况。结果该患者手术顺利,术后未出现严重并发症,消融病灶均完全坏死,随访三个月,消融部位未见肿瘤残留,未发现新病灶。结论采取经皮联合开腹消融术治疗多发危险部位肝脏肿瘤是安全有效的。

关键词: 肝转移瘤, 微波消融, 危险部位

Abstract: Objective The aim of this study was to evaluate the effect,safety and feasibility of percutaneous and open-approach microwave ablation to treat multiple liver metastases. Methods A 59-yr-old man with colon cancer and multiple hepatic metastases was admitted to our department of surgery in November 2013. There was one lesion（0.9 cm×0.8 cm） near heart,which was defined as dangerous for microwave ablation and subjected to open-approach microwave ablation,and there were two lesions （1.4 cm×0.9 cm and 3.0 cm×2.8 cm） ablated by percutaneous microwave ablation. Results There were no serious postoperative complications and the three lesions completely disappeared three months after the treatment. Conclusions Percutaneous combined with open-approach microwave ablation is effective,feasible and safe procedure in the treatment of multiple hepatic metastases.

Key words: Liver metastases, Microwave ablation, Dangerous section

葛勇胜, 马金良, 荚卫东, 余继海, 马华星, 束青华. 经皮联合开腹微波消融术治疗多发危险部位肝脏转移瘤疗效分析^*[J]. 实用肝脏病杂志, 2015, 18(3): 233-236.

Ge Yongsheng, Ma Jinliang, Jia Weidong, et al.. Percutaneous and open-approach microwave ablation in the treatment of a patient with colon cancer and multiple hepatic metastases[J]. JOURNAL OF PRACTICAL HEPATOLOGY, 2015, 18(3): 233-236.

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经皮联合开腹微波消融术治疗多发危险部位肝脏转移瘤疗效分析^*

Percutaneous and open-approach microwave ablation in the treatment of a patient with colon cancer and multiple hepatic metastases

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