Surgical vs percutaneous radiofrequency ablation for hepatocellular carcinoma in dangerous locations
Surgical vs percutaneous radiofrequency ablation for hepatocellular carcinoma in dangerous locations作者机构：Department of Hepato-Biliary-Pancreatic Surgery Division of Liver Transplantation West China Hospital Sichuan University Chengdu 610041 Sichuan Province China Department of Surgery University of Western Ontario Hepatobiliary and Liver Transplant Surgery London Health Sciences Centre London Ontario N6A 4S2 Canada
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2011年第17卷第1期
页 面：123-129页
核心收录：
学科分类：0710[理学-生物学] 1002[医学-临床医学] 070801[理学-固体地球物理学] 07[理学] 0708[理学-地球物理学] 071002[理学-动物学]
主 题：手术治疗 射频消融 危险地点 肝癌 VS RFA 肝细胞癌 治愈率
摘 要：AIM:To compare the long-term outcome of percutaneous vs surgical radiofrequency ablation(RFA) for hepatocellular carcinoma(HCC) in dangerous ***:One hundred and sixty-two patients with HCC in dangerous locations treated with percutaneous or surgical RFA were enrolled in this *** patients were divided into percutaneous RFA group and surgical RFA *** the patients were regularly followed up for a long time,their curative rate,hospital stay time,postoperative complications and 5-year local tumor progression were compared and ***:No significant difference was observed in curative rate between the two groups(91.3% vs 96.8%,P = 0.841).The hospital stay time was longer and more analgesics were required while the incidence of bile duct injury and RFA-related hemorrhage was lower in surgical RFA group than in percutaneous RFA group(P 0.05).The local progression rate of HCC in dangerous locations was significantly lower in surgical RFA group than in percutaneous RFA group(P = 0.05).The relative risk of local tumor progression was 14.315 in percutaneous RFA ***:The incidence of severe postoperative complications and local tumor progression is lower after surgical RFA than after percutaneous RFA.
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