论文部分内容阅读
目的探讨经腹腔镜联合腹腔镜超声射频消融治疗多发性肝癌的方法及疗效。方法回顾性分析我科2008年3月至2011年5月9例行经腹腔镜联合腹腔镜超声射频消融治疗多发性肝癌患者的临床资料,肿瘤直径1.5～4.8 cm,其中6例为两个病灶,3例为三个病灶。单个病灶射频消融时间10～28 min,术后1周复查超声。结果 21个病灶均在腹腔镜下顺利完成手术,术中出血10～120 ml,术后复查超声造影病灶完全坏死率为90.5%,残余病灶经B超引导再次射频消融治疗。9例患者术后均出现转氨酶升高、发热,3例出现胆红素轻度升高,1例出现少量腹水,无胆瘘、大出血、气胸、脏器损伤等严重并发症的发生。结果经腹腔镜联合腹腔镜超声射频消融治疗多发性肝癌是安全有效的治疗方法,可进一步扩大射频消融术的手术指征。
Objective To investigate the method and efficacy of laparoscopic combined with laparoscopic radiofrequency ablation in the treatment of multiple liver cancer. Methods A retrospective analysis of our department from March 2008 to May 2011 9 cases of laparoscopic ultrasound combined with laparoscopic radiofrequency ablation of multiple liver cancer patients with clinical data, tumor diameter 1.5 ~ 4.8 cm, of which 6 cases were two lesions , Three cases of three lesions. A single lesion radiofrequency ablation time 10 ~ 28 min, 1 week after ultrasound review. Results All the 21 lesions were successfully performed laparoscopically. The intraoperative blood loss was 10 ~ 120 ml. The complete necrosis rate was 90.5%. The residual lesions were guided by radiofrequency catheter ablation. A total of 9 patients had elevated aminotransferase and fever, 3 patients had slight increase of bilirubin, 1 patient had a small amount of ascites, no biliary fistula, hemorrhage, pneumothorax, organ injury and other serious complications. Results Laparoscopic combined with laparoscopic radiofrequency ablation for the treatment of multiple liver cancer is a safe and effective treatment, which can further expand the indications for radiofrequency ablation.