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腹腔镜下微波消融术治疗肝癌的临床疗效观察

黎福良 车斯尧 陈钦寿 潘思波 谢淑霞 何龙光

腹腔镜外科杂志2013,Vol.18Issue(7):506-508,3.
腹腔镜外科杂志2013,Vol.18Issue(7):506-508,3.

腹腔镜下微波消融术治疗肝癌的临床疗效观察

Observation of clinical effect of laparoscopic microwave ablation for hepatic carcinoma

黎福良 1车斯尧 1陈钦寿 1潘思波 1谢淑霞 1何龙光1

作者信息

  • 1. 高州市人民医院,广东高州,525200
  • 折叠

摘要

Abstract

Objective:To investigate the clinical effect of laparoscopic microwave ablation for hepatic carcinoma.Methods:Since Jun.2011,14 patients of liver cancer with a total of 19 lesions had been treated with laparoscopic microwave ablation.The clinical efficacy was assessed by observing the occurrence of postoperative complications,liver function,AFP,enhanced abdominal CT and B-ultrasound.Results:Laparoscopic microwave ablation was successfully performed in all the patients.8 patients had fever and 10 patients complained pain,and no postoperative bleeding,biliary fistula or gastrointestinal perforation occurred.Incomplete of ablation was found in 1 patient,and treated by ultrasound guided microwave ablation.There were 2 recurrences which were treated by transcatheter arterial chemoembolization.One patient died of liver failure.Conclusions:Combining the advantages of laparoscopy and microwave ablation,laparoscopic microwave ablation is safe and feasible,has few trauma and outstanding curative effects,especially for the tumors in liver surface and closed to gallbladder.

关键词

肝肿瘤/微波/消融技术/腹腔镜检查/治疗结果

Key words

Liver neoplasms / Microwaves / Ablation techniques/ Laparoscopy / Treatment outcome

分类

医药卫生

引用本文复制引用

黎福良,车斯尧,陈钦寿,潘思波,谢淑霞,何龙光..腹腔镜下微波消融术治疗肝癌的临床疗效观察[J].腹腔镜外科杂志,2013,18(7):506-508,3.

腹腔镜外科杂志

OACSTPCD

1009-6612

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