دورية أكاديمية
[Thoracoscopic radio-frequency ablation therapy for liver surface tumor located under the diaphragm].
| العنوان: | [Thoracoscopic radio-frequency ablation therapy for liver surface tumor located under the diaphragm]. |
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| المؤلفون: | Ishiko T; Dept. of Gastroenterological Surgery, Graduate School of Medicine, Kumamoto University., Beppu T, Mizumoto T, Hosaka S, Nakahara O, Okabe H, Kuramoto K, Kurashige J, Masuda T, Hayashi H, Sugiyama S, Hirota M, Takamori H, Kanemitsu K, Baba H |
| المصدر: | Gan to kagaku ryoho. Cancer & chemotherapy [Gan To Kagaku Ryoho] 2006 Nov; Vol. 33 (12), pp. 1857-9. |
| نوع المنشور: | English Abstract; Journal Article |
| اللغة: | Japanese |
| بيانات الدورية: | Publisher: Gan To Kagaku Ryohosha Country of Publication: Japan NLM ID: 7810034 Publication Model: Print Cited Medium: Print ISSN: 0385-0684 (Print) Linking ISSN: 03850684 NLM ISO Abbreviation: Gan To Kagaku Ryoho Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Tokyo : Gan To Kagaku Ryohosha Original Publication: Tōkyō, Gan to Kagaku Ryōhōsha [1974?]- |
| مواضيع طبية MeSH: | Thoracoscopy*, Catheter Ablation/*methods , Liver Neoplasms/*surgery, Diaphragm ; Female ; Humans ; Length of Stay ; Male ; Middle Aged ; Tissue Adhesions/pathology |
| مستخلص: | It is necessary to select a proper method for radio-frequency ablation (RFA) therapy of the liver tumor. Especially, treating the tumor under the diaphragm is usually difficult to approach by percutaneous puncture. We have done thoracoscopic RFA in 48 cases (43 HCC, 1 adenomatous hyperplasia, and 4 metastatic liver tumors) to treat the tumor located on the surface of the liver under the diaphragma since January 1st, 2000. The average operation time was 237 minutes, the average blood loss was 29.0 ml and the average tumor diameter were 2.6 cm, and the average frequency of coagulation was 4.5 times. The cases which thoracoscopic RFA was possible with diaphragm incision were 27 cases (56%). However, there were 15 cases in which diaphragm incision was difficult by the adhesion under the diaphragm. Moreover, there were six cases with severe adhesion that was impossible by the thoracoscopic operation to convert an open chest method. There were 25 cases, which had some adhesion either in the chest or under the diaphragm, and those adhesions were considered to be related to the previous treatments such as the operation, ablation, and chemotherapy. The average length of the hospital stay post operation was 9.7 days. Only 3 cases (6%) needed additional treatments for tumor where the severe postoperative complication did not occur. Therefore, thoracoscopic RFA for tumor on the liver surface located under the diaphragm is suggested to be a feasible technique. On the other hand, it is necessary to pay attention to two kinds of adhesion taking a critical role for thoracoscopic operation procedures. |
| تواريخ الأحداث: | Date Created: 20070111 Date Completed: 20070130 Latest Revision: 20081121 |
| رمز التحديث: | 20231215 |
| PMID: | 17212127 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0385-0684 |
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