Methods for reducing complications of microwave ablation for certain liver tumors

doi:10.3877/cma.j.issn.2095-5782.2016.02.008

Abstract

Abstract:

Objective:

To investigate the complications caused by microwave ablation in the treatment of certain liver tumor and how to lower the occurrence of such complications during the treatment.

Methods:

A retrospective analysis of 74 cases with special parts liver tumors admitted and treated with percutaneous ultrasound MWA in our hospital and Binzhou Medical College Hospital during February 2011—March 2016 was conducted. Among these 74 patients, 45 had primary liver cancer, 13 liver hemangioma, and 16 metastatic liver cancer.

Results:

Among the 74 patients after microwave ablation, 1 developed diaphragmatic injury and hernia, 4 had pleural effusion, 1 colonic perforation and peritonitis, 2 bile leakage, 1 slow heart rate, and 7 developed hepatic subcapsular hematoma.

Conclusions:

The percutaneous microwave ablation ultrasound could cuase a high incidence of complications in treating special parts of the liver cancer. thus, more preventive measures should be adopted before the procedure. Flexible use of various means to avoid risks andreduce complications is suggested.

Key words: Special parts of liver tumors, Microwave ablation, Complications

Xiaojing Li, Jun wei Song, Yujun Zhang, Xinhai Zhao, Peiyuan Wang, Jiuning Huang. Methods for reducing complications of microwave ablation for certain liver tumors[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2016, 04(02): 91-94.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2016.02.008

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2016/V04/I02/91

Figures/Tables 1

References 12

1	贺庆，官泳松.原发性肝癌治疗进展[J].中华介入放射学电子杂志，2014，2(4):58-64. doi：10.3877/cma.j.issn.2095-5782.2014.04.016.
2	叶敏，仇纯武，李宏欣.经皮超声引导微波消融特殊部位肝癌的并发症[J].江苏医药，2015,41(19):2349-2351.
3	安东均，郑晓燕，张成.358例肝肿瘤微波消融并发症的临床分析[J].肝胆外科杂志，2015,23(2):24-27.
4	李宏欣，仇纯武.超声引导下经皮微波消融肝癌235例并发症分析[J].肝胆胰外科杂志，2015,25(6):492-494.
5	张德东，于晓玲，梁萍，等.171例肝恶性肿瘤经皮微波消融疗效及并发症[J].军医进修学院学报，2012,33(4):350-353.
6	Zhang L，Wang N，Shen Q，et al．Therapeutic efficacy of percutaneous radiofrequency ablation versus microwave ablation for hepatocellular carcinoma[J]. PLoS One, 2013, 8(10):e76119. doi: 10.1371/journal.pone.0076119.
7	Urata Y，Kubo S，Takemura S，et al．Effects of antivira l the rapy on long-term outcome after liver resection for hepatitis B virus-related hepatocellular carcinoma[J]．J Hepatobiliary Pancreat Sci, 2012, 19(6):685-696. doi: 10.1007/s00534-011-0489-z.
8	Dong W, Zhang T, Wang ZG，et al．Clinical outcome of small hepatocellular carcinoma after different treatments: a meta-analysis[J]. World J Gastroenterol, 2014 ,20(29):10174-10182. doi: 10.3748/wjg.v20.i29.10174.
9	袁强，王毅军，经翔，等．微波消融治疗肝脏恶性肿瘤的临床价值[J].中国肿瘤临床,2012,39(15):1104-1107.doi:10.3969/j.issn.1000-8179.2012.15.027.
10	周铁，蔡浩，张炜炜，等．人工胸水辅助射频消融治疗膈顶部肝细胞癌的安全性及疗效评估[J].中华肝胆外科杂志,2013,19(8):625-627.doi:10.3760/cma.j.issn.1007-8118.2013.08.019.
11	Zhang D，Liang P，Yu X，et al ．The value of artificial pleural effusion for percutaneous microwave ablation of liver tumour in the hepatic dome: a retrospective case-control study[J].Int J Hyperthermia，2013，29(7):663-670．doi: 10.3109/02656736.2013.833347.
12	王志军，王茂强，段峰，等. 经肝动脉化疗栓塞联合同步射频消融术治疗单个大肝癌的初步临床研究[J]. 中华介入放射学电子杂志,2014 , 2 (1):18-23.doi:10.3887/cma·j·issn.2095-5782.2014.01.006.

[1]	Xin Jin, Mao Xie, Yun Liu, Cao Yang, Shuhua Yang, Weihua Xu. Randomized control trial of patient-specific femoral guide using for primary total hip arthroplasty [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 780-787.
[2]	Chen Yi, Yadong Zhang, Qian Dong, Haikuo Tang, Zhiguo Liu. Clinical outcome of bone lid technique in the extraction of the deeply impacted mandibular third molar [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(06): 424-429.
[3]	Binhe Du, Nan Xu, Yunchuan Yang, Peiyuan Cui. Values of 5-item modified frailty index in predicting the short-term prognosis of pancreaticoduodenectomy [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(06): 444-448.
[4]	Jianmei Li, Jingjuan Deng, Qian Yang. Safety and follow-up evaluation of the combined treatment of hepatocellular carcinoma with hepatic cirrhosis and portal hypertension [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 41-44.
[5]	Shijiang Pang, Yanyan Huang, Guanlie Zhu. Safety and efficacy of modified π-type anastomosis in laparoscopic total gastrectomy for digestive tract reconstruction [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 66-69.
[6]	Tifei Yang, Chuanhu Yang, Zhenru Lu. Effect of modified non-inflatable transaxillary approach total endoscopic thyroid surgery on recurrent laryngeal nerve function [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 74-77.
[7]	Damin Chen, Xiaogang Cao, Nengqi Cao. Effect of obesity on surgical treatment of gastric cancer patients [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 651-653.
[8]	Yao Chen, Boqun Xu, Zhihui Gao. Efficacy and safety of modified intermediate upper approach radical resection in the treatment of thyroid cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 619-622.
[9]	Gege Dai, Li Yang, Yuanyuan Hu, Wenting Zhou. Application effect of comprehensive intervention in operating room in elderly patients with inguinal hernia [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 759-763.
[10]	Wei Dai, Guilin Jiang, Zhaoping Che, Jiao Zhang, Xingxing Wang, Haitao Zhao. Application effect of seamless surgical nursing in perioperative period of laparoscopic surgery for inguinal hernia [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 778-781.
[11]	Wei Yuan, Xiuwen Zhang, Hongbo Pan, Jun Zhang, Hu Wang, Min Huang. Comparison of the application of flat sheet versus filled inguinal hernia repair [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 697-701.
[12]	Bing Pan, Shaocheng Lyu, Xin Zhao, Lixin Li, Ren Lang, Qiang He. Effect of number of dissected lymph nodes on efficacy of pancreaticoduodenectomy for distal cholangiocarcinoma [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 608-612.
[13]	Jiaqi Cui, Di Wu, Haiyan Chen, Huimin Zhou, Yuanlong Gu, Guangwen Zhou, Jun Yang. Clinical diagnosis and treatment of liver abscess after TACE [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 688-693.
[14]	Sarengaowa, Yingxia Zhang, Wei Deng, Nuo Yan, Ning Fan. Patterns and effects of changes in histopathological characteristics after ultrasound-guided murine liver ablation [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 394-398.
[15]	Xiaona Wang, Wei Tan, Yue Li, Wenyan Jiang. Effects of predictive care on perioperative quality of life, mood, and complication in patients undergoing radical colorectal cancer surgery [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 525-529.

Please choose a citation manager

Content to export