Ultrasound-guided interventional procedures of the liver during laparoscopy

Santambrogio, Roberto; Bianchi, Paolo Pietro; Pasta, A.; Palmisano, Angela; Montorsi, Marco

doi:10.1007/s004640090082

Cited by 38 publications

(29 citation statements)

References 34 publications

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“…Laparoscopic RITA seems to carry a greater incidence of total necrosis in tumors with a diameter larger than 3 cm [26]. Laparoscopic RITA can obtain a greater volume of necrosis in these lesions because it is possible to perform a more aggressive approach using clustered electrodes, repeated needle placements, or adjuvant ethanol injections [12] without increasing the risk of complications [34,36].…”

Section: Discussionmentioning

confidence: 99%

“…Biopsy of liver nodules was routinely performed through alternate trocar sites using an automatic disposable 18-gauge biopsy needle (Temno, Bauer Medical, Santo Domingo). A ''protected'' technique [36] (already used for percutaneous ultrasound-guided biopsy [1]) permitted the surgeon to work with the additional security of a protected needle tract even when multiple passes were required.…”

Section: Technical Notesmentioning

confidence: 99%

“…Furthermore, L-LUS allows the performance of US-guided biopsy [36] or interstitial therapies, such as ethanol injection, cryoablation, or radiofrequency interstitial thermal ablation (RITA), in the same session [8,15,16,22,31].…”

Section: Introductionmentioning

confidence: 99%

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Safety and efficacy of laparoscopic radiofrequency of hepatocellular carcinoma in patients with liver cirrhosis

et al. 2003

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Background: The optimal treatment for hepatocellular carcinoma (HCC) is surgical resection. However, only a small percentage of patients are operative candidates. Percutaneous radiofrequency interstitial thermal ablation (RITA) has been shown to be efficacious in the treatment of unresectable HCC. Recent advances in laparoscopic ultrasound have greatly improved the accuracy in detecting intrahepatic HCC nodules, many of which were missed by computed tomography. Our objective was to introduce a novel operative combination of laparoscopic ultrasound with laparoscopic RITA in the treatment of HCC. Methods: Eighty-eight patients with HCC in liver cirrhosis were submitted to laparoscopic RITA under sonographic guide. Most patients were in Child's A class of liver function. Patients with large tumors (>5 cm), portal vein thrombosis, or severe liver disease (Child's C class) were excluded. Results: The laparoscopic RITA procedure was completed in 86 of 88 patients (98% feasibility rate). Laparoscopy with laparoscopic ultrasound identified 23 new malignant lesions (27%) in comparison with the results of preoperative imaging. A total of 127 lesions were treated by RITA. There was no operative mortality. Sixty-one patients had no complication (71%). After a mean follow-up of 14.3 ± 11.6 months, a complete response with a 100% necrosis was achieved in 70 of 83 patients examined (86%). During follow-up, 9 patients (11%) locally recurred at the RITA site and 38 patients (46%) had new malignant nodules. Conclusions: Laparoscopic RITA of HCC proved to be a safe and effective technique in the short term. This technique may be indicated when the percutaneous approach to the lesion is very difficult or if the patient is too ill to undergo laparotomy.

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Section: Discussionmentioning

confidence: 99%

Section: Technical Notesmentioning

confidence: 99%

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Safety and efficacy of laparoscopic radiofrequency of hepatocellular carcinoma in patients with liver cirrhosis

et al. 2003

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“…Once the diaphragm is exposed, TTRFA requires expertise in the use of ultrasound [7]. The ultrasound probe is placed directly on the diaphragm, and frequencies of 3 to 7 MHz provide excellent visualization.…”

Section: Discussionmentioning

confidence: 99%

Transthoracic hepatic radiofrequency ablation

et al. 2004

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“…After pneumoperitoneal insufflation to about 12 mmHg, complete laparoscopic disease staging was performed with the aid of laparoscopic ultrasonography [22]. After lesion location, insufflation pressure was reduced to 6 mmHg, the colonic segment containing the lesion was carefully manoeuvred to the abdominal wall with the aid of atraumatic graspers, and the site of percutaneous access was selected.…”

Section: Techniquementioning

confidence: 99%

Technique of sentinel lymph node biopsy and lymphatic mapping during laparoscopic colon resection for cancer

Bianchi¹

2015

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Ultrasound-guided interventional procedures of the liver during laparoscopy

Abstract: The proper technique for interventional procedures during laparoscopic ultrasound can be mastered relatively quickly by a surgeon who is already familiar with traditional ultrasound techniques.

Cited by 38 publications

References 34 publications

Safety and efficacy of laparoscopic radiofrequency of hepatocellular carcinoma in patients with liver cirrhosis

Safety and efficacy of laparoscopic radiofrequency of hepatocellular carcinoma in patients with liver cirrhosis

Transthoracic hepatic radiofrequency ablation

Technique of sentinel lymph node biopsy and lymphatic mapping during laparoscopic colon resection for cancer

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