LAPAROSCOPIC ASSISTED PER-CUTANEOUS RADIO-FREQUENCY ABLATION (LAPRFA) AS A NEW MODALITY FOR TREATMENT OF HCC IN CIRRHOTIC LIVER
SELEEM, M., ABDELRAOUF, A., GERGES, S., TAHA, S., ELSHAFEY, H., ELKHOULY, A. (2015). LAPAROSCOPIC ASSISTED PER-CUTANEOUS RADIO-FREQUENCY ABLATION (LAPRFA) AS A NEW MODALITY FOR TREATMENT OF HCC IN CIRRHOTIC LIVER. EKB Journal Management System, 45(2), 451-456. doi: 10.21608/jesp.2015.89968
MOHMED I. SELEEM; AMR ABDELRAOUF; SHAWKAT S. GERGES; SHERIF B.M. TAHA; HOSSAM E. ELSHAFEY; ASHRAF ELKHOULY. "LAPAROSCOPIC ASSISTED PER-CUTANEOUS RADIO-FREQUENCY ABLATION (LAPRFA) AS A NEW MODALITY FOR TREATMENT OF HCC IN CIRRHOTIC LIVER". EKB Journal Management System, 45, 2, 2015, 451-456. doi: 10.21608/jesp.2015.89968
SELEEM, M., ABDELRAOUF, A., GERGES, S., TAHA, S., ELSHAFEY, H., ELKHOULY, A. (2015). 'LAPAROSCOPIC ASSISTED PER-CUTANEOUS RADIO-FREQUENCY ABLATION (LAPRFA) AS A NEW MODALITY FOR TREATMENT OF HCC IN CIRRHOTIC LIVER', EKB Journal Management System, 45(2), pp. 451-456. doi: 10.21608/jesp.2015.89968
SELEEM, M., ABDELRAOUF, A., GERGES, S., TAHA, S., ELSHAFEY, H., ELKHOULY, A. LAPAROSCOPIC ASSISTED PER-CUTANEOUS RADIO-FREQUENCY ABLATION (LAPRFA) AS A NEW MODALITY FOR TREATMENT OF HCC IN CIRRHOTIC LIVER. EKB Journal Management System, 2015; 45(2): 451-456. doi: 10.21608/jesp.2015.89968

LAPAROSCOPIC ASSISTED PER-CUTANEOUS RADIO-FREQUENCY ABLATION (LAPRFA) AS A NEW MODALITY FOR TREATMENT OF HCC IN CIRRHOTIC LIVER

Journal of the Egyptian Society of Parasitology
Article 27, Volume 45, Issue 2, August 2015, Page 451-456  XML PDF (2.51 MB)
Document Type: Original Article
DOI: 10.21608/jesp.2015.89968
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Authors
MOHMED I. SELEEM; AMR ABDELRAOUF; SHAWKAT S. GERGES; SHERIF B.M. TAHA; HOSSAM E. ELSHAFEY; ASHRAF ELKHOULY
National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
Abstract
Laparoscopic assisted percutaneous radiofrequency ablation (LAPRFA) for hepatocellular carcinoma (HCC) under guidance of intra-operative laparoscopic ultrasound (IOLUS) is a new modality for obtaining additional assessment of the liver situation, better tumor staging and effective treatment for the hepatic focal lesion (HFL), in patients with a difficult percutaneous approach. Between September 2010 and July 2014, 1150 patients with HCC on top of liver cirrhosis were referred to HCC clinic (MDT clinic) at National Hepatology and Tropical Medicine Research Institute (NHTMRI). Fourty nine patients were submitted to LAPRFA under IOLUS guidanceby the Multidiscipplinary team decision. Operation time, hospital stay, post procedure complications were recorded. A routine spiral CT scan one month postoperative and laporatory investigations with AFP were mandatory during follow up. The results showed that LAPRFA was completed in all patients. The IOLUS examination identified new HFL in three patients. A total of 52 lesions were treated. The mean operative
time was 92 minutes; eight procedures were associated in six patients: cholecystectomy (6) and adhesiolysis (2). A complete tumor ablation was observed in all patients during the procedure by the U/S assessment intra-operatively, and was documented via spiral computed tomography (CT scan) one month after treatment.
Keywords
Cirrhotic liver; Laparoscopic Assisted Per-Cutaneous Radio-Frequency Ablation
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