2009
DOI: 10.1111/j.1443-1661.2009.00836.x
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Efficacy of Laparoscopic Radiofrequency Ablation for Hepatocellular Carcinoma Compared to Percutaneous Radiofrequency Ablation With Artificial Ascites

Abstract: LRFA is a better treatment option for ablation of HCC nodules >2.0 cm in diameter.

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Cited by 25 publications
(12 citation statements)
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“…Even under strict temperature monitoring, ablation failure may occur because of control of the ablation region to avoid injury to the gastrointestinal tract. Thermal ablation via a laparoscopic approach may be more suitable in such cases in which adhesions are confirmed when inducing artificial ascites [12].…”
Section: Discussionmentioning
confidence: 99%
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“…Even under strict temperature monitoring, ablation failure may occur because of control of the ablation region to avoid injury to the gastrointestinal tract. Thermal ablation via a laparoscopic approach may be more suitable in such cases in which adhesions are confirmed when inducing artificial ascites [12].…”
Section: Discussionmentioning
confidence: 99%
“…Strategies in such cases include laparoscopic thermal ablation [12], the use of artificial ascites and balloon catheter interposition between the tumour and the gastrointestinal tract [13]. RF ablation is the most widely used thermal ablation technique.…”
Section: Introductionmentioning
confidence: 99%
“…To prevent thermal injury to adjacent organs, various techniques such as the introduction of artificial ascites, the use of laparoscopic or intraoperative approaches (12), and the use of balloon catheter interposition between the ablation zone and abutting organs (13) have been attempted. Of these techniques, the introduction of artificial ascites by means of infusion of saline solution to the peritoneal cavity is commonly used at many institutions because of its efficacy and safety (14)(15)(16).…”
Section: Methodsmentioning
confidence: 99%
“…En un reciente estudio recomiendan la RF por vía laparoscópica en lesiones de gran tamaño (42 cm) donde el tratamiento previo con quimioembolización puede limitar la técnica de creación de ascitis por formación de adherencias 25 . Sin embargo, es una técnica que requiere anestesia general, mayor entrenamiento del equipo que la realice y un adecuado material, no disponible en todos los centros, por lo que podría utilizarse en tumores previamente quimioembolizados o cuando la técnica percutánea falle.…”
Section: Discussionunclassified