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

Abstract

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

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.

References

[1] Sugarbaker PH. Colorectal cancer metastases:a surgical perspective. Surg Oncol Clin N Am,2013,22（2）:289-298.
[2] de Cuba EM,Kwakman R,Knol DL,et al. Cytoreductive surgery and HIPEC for peritoneal metastases combined with curative treatment of colorectal liver metastases:Systematic review of all literature and meta-analysis of observational studies. Cancer Treat Rev,2013,39（4）:321-327.
[3] Cucchetti A,Piscaglia F,Cescon M,et al. Systematic review of surgical resection vs radiofrequency ablation for hepatocellular carcinoma. World J Gastroenterol,2013,19（26）:4106-4118.
[4] Sainani NI,Gervais DA,Mueller PR,et al. Imaging after percutaneous radiofrequency ablation of hepatic tumors:Part 2,Abnormal findings. AJR,2013,200（1）:194-204.
[5] Chen MS,Li J Q,Zheng Y,et al. A prospective randomized trail comparing percutaneous local ablative therapy and partial hepatectomy for small hepatocellular carcinoma. Ann Surg, 2006,243（3）:321-328
[6] Poon RT,Fan ST,Tsang FH,et al. Locoregional therapies for hepatocellular carcinoma:a critical review from the surgeon’s perspective. Ann Surg,2002,235（4）:466-486.
[7] Tateishi R,Shiina S,Teratani T,et al. Percutaneous radiofrequency ablation for hepatocellular carcinoma. An analysis of 1000 cases. Cancer,2005,103（6）:1201-1209.
[8] Brace CL,Laeseke PF,Sampson LA,et al. Microwave ablation with a single small-gauge triaxial antenna:in vivo porcine liver model. Radiology,2007,242（2）:435-440.
[9] Dodd GD III, Dodd NA,Lanctot AC,et al. Effect of variation of portal venous blood flow on radiofrequency and microwave ablations in a blood-perfused bovine liver model. Radiology, 2013,267（1）:129-136.
[10] Fan W,Li X,Zhang L,et al. Comparison of microwave ablation and multipolar radiofrequency ablation in vivo using two internally cooled probes. Am J Roentgenol,2012,198（1）:W46-W50.
[11] 陈敏山,高恒军,李锦清. 肝癌射频消融治疗合理选择与临床评价. 中国实用外科杂志,2008,28（8）：613-615.
[12] Chen MH,Yang W,Yan K,et al. Radiofrequency ablation of problematically located hepatocellular carcinoma:tailored approach. Abdom Imaging,2008,33（4）:428-443.
[13] Munene G,Parker RD,Shaheen AA,et al. Disparities in the surgical treatment of colorectal liver metastases. J Natl Med Assoc,2013,105（2）:128-137.
[14] Wang CC,Li J. An update on chemotherapy of colorectal liver metastases. World J Gastroenterol,2012,18（1）:25-33.
[15] 中华外科学会肝脏外科学组.原发性肝癌外科治疗方法的选择.肝胆胰外科杂志,2004,16（4）:235-236.
[16] Toso C,Mentha G,Kneteman NM,et al. The place of downstaging for hepatocellular carcinoma. J Hepatol. 2010,52（6）:930-936.
[17] 汤钊猷. 肝癌治疗与微创外科观念.解放军医学杂志,2002,27（ 2）:106-108.
[18] Solbiati L,Ahmed M,Cova L,et al. Small liver colorectal metastases treated with percutaneous radiofrequency ablation: local response rate and long-term survival with up to 10-year follow-up. Radiology,2012,265（3）:958-968.
[19] Meriggi F,Bertocchi P, Zaniboni A. Management of potentially resectable colorectal cancer liver metastases. World J Gastrointest Surg,2013,27（5）:138-145.
[20] Park MH,Cho JS,Shin BS,et al. Comparison of internally cooled wet electrode and hepatic vascular inflow occlusion method for hepatic radiofrequency ablation. Gut Liver,2012,6（4）:471-475.
[21] 中国抗癌协会肝癌专业委员会,中国抗癌协会临床肿瘤学协作委员会,中华医学会肝病学分会肝癌学组. 肝癌射频消融治疗规范的专家共识.临床肝胆病杂志,2011,27（3）：236-238.
[22] Huang GT,Lee PH,Tsang YM,et al. Percutaneous ethanol injection versus surgical resection for the treatment of small hepatocellular carcinoma:a prospective study. Ann Surg,2005,242（1）:36-42.
[23] Hirooka M,Kisaka Y,Uehara T,et al. Efficacy of laparoscopic radiofrequency ablation for hepatocellular carcinoma compared to percutaneous radiofrequency ablation with artificial ascites.Dig Endosc,2009,21（2）：82-86.
[24] Ogawa T,Kawamoto H,Kobayashi Y,et al.Prevention of biliary
complication in radiofrequency ablation for hepatocellular carcinoma-cooling effect by endoscopic nasobiliary drainage tube.Eur J Radiol,2010,73（2）：385-390.
[25] Khan MR, Poon RT,Ng KK,et al. Comparison of percutaneous and surgical approaches for radiofrequency ablation of small and medium hepatocellular carcinoma. Arch Surg,2007,142（12）:1136-1143.
[26] 赖威,卢实春,曾道炳,等.腹腔镜射频消融治疗肝脏肿瘤的初步观察. 首都医科大学学报,2011,32（3）:439-441.
[27] Solbiati L,Goldberg SN,Ierace T,et al. Hepatic metastases: percutaneous radio-frequency ablation with cooled-tip electrodes. Radiology,1997,205（2）:367-373.
[28] Livraghi T,Goldberg SN,Lazzaroni S,et al. Hepatocellular carcinoma:radio-frequency ablation of medium and large lesions. Radiology,2000,214（3）:761-768.
[29] de Baere T,Elias D,Dromain C,et al. Radiofrequency ablation of 100 hepatic metastases with a mean follow-up of more than 1 year. Am J Roentgenol,2000,175（6）:1619-1625.

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

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[12]	Kan Xiao, Pan Jiachao, Jing Yan. Changes in peripheral T lymphocyte subsets in patients underwent microwave ablation for primary liver cancer [J]. JOURNAL OF PRACTICAL HEPATOLOGY, 2014, 17(1): 71-73.
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[14]	LIU Jinyou. STIR sequence in the diagnosis of liver metastases [J]. JOURNAL OF PRACTICAL HEPATOLOGY, 2011, 14(1): 42-44.