Laparoscopic Radiofrequency Ablation Combined With Laparoscopic Liver Resection for More Than One HCC on Cirrhosis

• DOI: 10.1097/sle.0b013e31806d9c65
• Publication Date: 2007-08-15T07:01:52Z
• Authors: Giulio Belli; Alberto D'Agostino; Corrado Fantini; Luigi Cioffi; Andrea Belli; Nadia Russolillo; Serena Langella
• Keywords: Liver Cirrhosis; Male; Carcinoma, Hepatocellular; Liver Neoplasms; Combined Modality Therapy; Embolization, Therapeutic; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Catheter Ablation; Hepatectomy; Humans; Laparoscopy; Neoplasm Recurrence, Local; Tomography, X-Ray Computed; Aged

The management of patients affected by more than one hepatocellular carcinoma (HCC) is still controversial but nowadays a multimodal approach to this pathology seems be the most effective and versatile therapeutic option. When orthotopic liver transplantation not indicated, survival-time quality life improvement goal for who will have long metabolic oncologic disease history. Combined use minimally invasive nonsurgical treatments [percutaneous ethanol injection, radiofrequency ablation, transcutaneous arterial chemioembolization (TACE)] allows offer advantages each procedure reducing their individual side effects complications. We consider laparoscopy as procedure, which can benefits surgical treatment, tumor removing, with an improved postoperative course. If recurrence risk factors are present, costs/benefits rapport decreased laparoscopic offers, in addition radical resection, pain, reduced trauma abdominal wall, smaller incisions, peritoneal adhesions and, selected cases, earlier beginning chemiotherapy. report case patient HCC bigger lesion 50 mm protruding from hepatic segment III, subcapsular located at V, deep VII-VIII. was submitted double resection association ablation. Five months later, presented early malignancy that treated TACE. At 8 another multifocal 2 years apparent good conditions acceptable life. think could gain considerable place treatment cirrhotic because, it offers lower complications rate.