Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Original Article

Volume 5, Number 6, December 2012, pages 232-235

Laparoscopic Radiofrequency Thermal Ablation of Hepatocellular Carcinoma in Liver Cirrhosis Patients

Figures

Figure 1.
Figure 1. The colon was protected with abdominal gauze soaked in saline solution.
Figure 2.
Figure 2. The stomach was protected by omentum.
Figure 3.
Figure 3. Creation of ascites by instillation of Dextrose 5% to protect the diaphragm.
Figure 4.
Figure 4. Semi-flax retractable multi-pronged curved electrode needle.

Tables

Table 1. Inclusion Criteria of RFA
 
Inclusion criteria
1. Contraindication of using percutaneous radiofrequency.
2. HCC near to vital organs such as diaphragm or gut.
3. Patients with Child-Pugh (A and B).
4. Patients who has an additional surgical indication such as, cholelithiasis, umbilical hernia.
5. Patients with hepatocellular carcinoma ≥ 5 cm in diameter.
6. Patients with American Society of Anesthesiologists (ASA) I, II, and III patients

 

Table 2. Distributions of Lesion Site
 
ItemsResults
Mean age60 years
Mean operative time120 minutes
Mean hospital stay1.5 days
Mean lesion size3.5 cm
Lesion siteSegment-II: 5 cases
Segment-III: 3 cases
Segment-IV: 2 cases
Segment-V: 2 cases
Segment-VI: 4 cases
Segment-VII: 4 cases + one new lesion
Segment-VIII: 9 cases + two new lesions
ComplicationsFever: 5 patients
Ascites: 9 patients
Recurrence: one patient