检索结果-南通市图书馆

Computed tomography-guided transpulmonary radiofrequency ablation for hepatocellular carcinoma located in hepatic dome

引用

World Journal of Gastroenterology 2006年第4期12卷 608-611页

作者： MitsuoToyoda KatsuhikoHoriuchi KenjiKatakai SatoruKakizaki NaondoSohara KenSato HitoshiTakagi MasatomoMori Takahito Nakajima Department of Internal Medicine Isesaki Municipal HospitalIsesakiGunma 372-0817Japan Department of Medicine and Molecular Science Gunma University Graduate School of MedicineMaebashiGunma 371-8511Japan Department of Diagnostic Radiology and Nuclear Medicine Gunma University Graduate School of MedicineMaebashiGunma 371-8511Japan

AIM： To determine the feasibility of performing computed tomography （CT）-guided transpulmonary radiofrequency ablation （RFA） for hepatocellular carcinoma （HCC） located in the hepatic dome. METHODS： A total of seven patients with HCC comprising seven nodules located in the hepatic dome were treated from April 2004 to December 2004. CTguided transpulmonary RFA was performed using a cool-tip type electrode （Radionics Company） based on a standardized energy protocol. All tumors located in the hepatic dome were not detectable by the usual ultrasound （US） methods. The lesion diameters ranged from 15 to 27 mm. RESULTS： RFA was technically feasible in all the patients. The puncture procedure was performed twice or less and the total average performance time was 40.6 min. Local tumor control was achieved in all the patients. The necrosis diameter ranged from 25 to 35 mm. The mean follow-up period was 9.6 （7-14 mo） mo. There was no local recurrenceat the follow-up points. Pneumothorax requiring pleural drainage was the main complication, which was observed in two of the seven patients （28.6%）. However, it improved with chest drainage tube, and the tube could be removed within 2-3 d. No other major complications were observed.CONCLUSION： CT-guided puncture is useful for the treatment of tumors located in the hepatic dome which are hardly detectable by US, even though pneumothorax sometimes may occur as a complication. In the cases with adhesion in the pleura for which artificial pleural effusion methods are not appropriate, CT-guided RFA is thus considered to be an alternative treatment for HCC located in the hepatic dome.

关键词： Radiofrequency ablation Hepatocellular carcinoma interventional procedures CT-guided transpulmonary RFA

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Management of surgical splenorenal shunt-related hepatic myelopathy with endovascular interventional techniques

引用

World Journal of Gastroenterology 2012年第47期18卷 7104-7108页

作者： Mao-Qiang Wang Feng-Yong Liu Feng Duan Department of interventional Radiology Chinese People's Liberation Army General Hospital

We present a case with hepatic myelopathy(HM) due to a surgical splenorenal shunt that was successfully treated by endovascular interventional techniques.A 39-year-old man presented with progressive spastic paraparesis of his lower limbs 14 mo after a splenorenal shunt.A portal venogram identified a widened patent splenorenal *** used an occlusion balloon catheter initially to occlude the *** monitoring of the patient revealed a decrease in his serum ammonia level and an improvement in leg *** then used an Amplatzer vascular plug(AVP) to enable closure of the *** the follow up period of 7 mo,the patient experienced significant clinical improvement and normalization of blood ammonia,without any *** of a surgically created splenorenal shunt with AVP represents an alternative therapy to surgery or coil embolization that can help to relieve shunt-induced HM symptoms.

关键词： Hepatic myelopathy Shunts Portosystemic Hepatic encephalopathy Embolization Endovascular balloon occlusion interventional procedures Amplatzer vascular plug

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Endoscopic ultrasound-guided biliary drainage after failed endoscopic retrograde cholangiopancreatography: The road is open for almighty biliopancreatic endoscopists!

引用

World Journal of Gastrointestinal Surgery 2024年第9期16卷 2765-2768页

作者： Filippo Antonini Ilenia Merlini Salomone Di Saverio Gastroenterology and interventional Endoscopy UnitMazzoni Hospital AST Ascoli Piceno Ascoli Piceno 63100Italy Department of Surgery Madonna del Soccorso Hospital AST Ascoli PicenoSan Benedetto del Tronto 63074Italy

Commentary on the article written and published by Peng et al,investigating the role of endoscopic ultrasound(EUS)-guided biliary drainage for palliation of malignant biliary obstruction after failed endoscopic retrograde cholangiopan-creatography(ERCP).For 40 years endoscopic biliary drainage was synonymous with ERCP,and EUS was used mainly for diagnostic *** advent of therapeutic EUS has revolutionized the field,especially with the development of a novel device such as electrocautery-enhanced lumen-apposing metal *** biliopancreatic endoscopists with both skills in ERCP and in interven-tional EUS,would be ideally suited to ensure patients the best drainage technique according to each individual situation.

关键词： Cholestasis Drainage Electrocautery-enhanced lumen-apposing metal stents Endoscopic ultrasound Endosonography Endoscopic retrograde cholangiopancreatogra-phy interventional procedures Jaundice Malignant Biliary obstruction

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：