Laser ablation of hepatocellular carcinoma-A review

Laser ablation of hepatocellular carcinoma-A review
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DOI:
10.3748/wjg.14.7170
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发表时间:
2008-12-21
影响因子:
4.3
通讯作者:
Gedroyc, Wladyslaw Michal Witold
Gedroyc, Wladyslaw Michal Witold
中科院分区:
医学2区
文献类型:
--
作者:
Gough-Palmer, Antony Lawrence;Gedroyc, Wladyslaw Michal Witold

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在过去的十年中,广泛的局部热消融治疗已经被开发用于治疗不可切除的肝细胞癌(HCC)。激光消融(LA)和射频消融(RFA)是其中两种最广泛使用的方法。本文提供了一个最新的概述激光消融在局部治疗肝癌的作用。一般原则,技术,图像引导和病人的选择进行了讨论。对激光消融术的治疗效果、长期结局和并发症发生率的已发表数据进行了综述,并与RFA进行了比较。激光消融结合经导管动脉化疗栓塞的作用也进行了讨论。(C)2008年,WJG出版社。All rights reserved.
A wide range of local thermal ablative therapies have been developed in the treatment of non resectable hepatocellular carcinoma (HCC) in the last decade. Laser ablation (LA) and radiofrequency ablation (RFA) are the two most widely used of these. This article provides an up to date overview of the role of laser ablation in the local treatment of HCC. General principles, technique, image guidance and patient selection are discussed. A review of published data on treatment efficacy, long term outcome and complication rates of laser ablation is included and comparison with RFA made. The role of laser ablation in combination with transcatheter arterial chemoembolisation is also discussed. (C) 2008 The WJG Press. All rights reserved.