エンドファイア型超音波腹腔鏡を用いた，肝細胞癌に対する腹腔鏡的熱凝固療法について

概要

論文の詳細を見る
Laparoscopic thermal ablation for hepatocellular carcinoma (HCC) is thought to be more accurate technique than percutaneous ablation, because HCC can be treated under direct vision. However, it is difficult to puncture deep-seated whepatic tumors under standard linear-type laparoscopic ultrasonography. Forward-viewing laparoscopic ultrasonography (End-Fire array), which was recently been developed, enables us to puncture deep-seated HCC exactly. We have performed laparoscopic thermal ablation for 8 HCCs out of 7 patients by using this End-Fire array. Among them, three were treated by microwave coagulation and four were by radiofrequency ablation. Six of 7 patients were completely and easily treated with this array. One patient had multiple HCCs and two relatively large HCCs were ablated for mass reduction. Thus, this new array is useful to perform laparoscopic thermal ablation against deep-seated HCC.
特定非営利活動法人 Microwave Surgery研究会の論文