| 腹腔镜下射频消融治疗特殊部位肝癌 |
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| 引用本文： | 邓美海,胡昆鹏,李凯,凌云彪,潘卫东,刘波,郑荣琴,许瑞云. 腹腔镜下射频消融治疗特殊部位肝癌[J]. 中国实用外科杂志, 2007, 27(10): 819-820 |
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| 作者姓名： | 邓美海 胡昆鹏 李凯 凌云彪 潘卫东 刘波 郑荣琴 许瑞云 |
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| 作者单位： | 1. 中山大学附属第三医院,肝胆外科,广州,510630
2. 中山大学附属第三医院,超声科,广州,510630 |
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| 摘 要： | 目的探讨腹腔镜下射频消融治疗特殊部位原发性肝癌的效果。方法2005年1月至2006年12月,对中山大学附属第三医院25例入选的患有特殊部位肝癌的病例,分别采用腹腔镜下射频消融术(A组,n=11)和经皮射频消融术(B组,n=14)治疗。观察治疗前后癌灶的超声造影变化、并发症情况,并做术后疗效的随访。结果腹腔镜下消融组术后并发膈肌损伤致大量胸水、肿瘤消融不完全的情况较少。术后随访两组均有癌肿复发的病例出现。结论对于特殊部位的肝癌,腹腔镜下射频消融术具一定的优越性。
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| 关 键 词： | 肝癌 射频消融 腹腔镜检查 |
| 文章编号： | 1005-2208（2007）10-0619-02 |
| 修稿时间： | 2007-05-02 |
Laparoscopic radiofrequency ablation in the treatment of special site hepatocellular carcinoma |
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| DENG Mei-hai , HU Kun-peng ,LI Kai ,et al.. Laparoscopic radiofrequency ablation in the treatment of special site hepatocellular carcinoma[J]. Chinese Journal of Practical Surgery, 2007, 27(10): 819-820 |
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| Authors: | DENG Mei-hai HU Kun-peng LI Kai et al. |
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| Affiliation: | Department of Hepato-biliary Surgery ,the 3rd Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, China |
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| Abstract: | Objective To investigate the efficacy of laparoscopic radiofrequency ablation (LRFA) in the treatment of special site hepatocellular carcinoma.Methods Twenty selected cases with HCC (with special site) were divided into two groups:LRFA group(Group A,n=11) and percutaneous radiofrequency ablation (PRFA) group (Group B,n=14). e observed the change of tumor area by ultrasonic visualization,preoperative and postoperative complications and follow up curative effect.Results The difference of area change caused by operation between Group A and Group B was not significantly.There were less complications of injury of diaphragmatic muscle,bulk pleural effusion and incomplete rate of ablation.It found recurring cases in both groups.Conclusion LARF in the treatment of special site hepatocellular carcinoma shows superiority and widening the cure extent of radiofrequency ablation. |
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| Keywords: | hepatocellular carcinoma radiofrequency ablation laparoscopy |
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