肝細胞癌に対する腹腔鏡的マイクロ波凝固療法（LMC）―全身麻酔は局所麻酔より理想的である―

概要

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In our department, laparoscopic microwave coagulation (LMC) had been performed under local anesthesia with venous anesthesia in the past. Then, because of abdominal adhesion, respiratory inhibition, and so forth, some patients could not undergone LMC under local anesthesia. It was investigated that whether LMC had been perfomed or not in 20 patients with hepatocellular carcinoma (27 nodules) undergoing laparoscopic therapy under general anesthesia. Six patients had undergone LMC after laparoscopic adhesiolysis and five patients had undergone LMC after insertion of other trocar at the appropriate position for laparosopic ultrasonography. All 20 patients had undergone LMC without complications. Under general anesthesia LMC was completely and safely performed compared with under local anesthesia. There is a tendency for local recurrence rate of HCC after LMC under general anesthesia to be smaller than that of LMC under local anesthesia.
特定非営利活動法人 Microwave Surgery研究会の論文