主肝静脈，および肝門側グリソン浸潤肝癌への開腹下マイクロ波凝固壊死療法の適応と限界

概要

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The purpose of present study was to clarify the indication and limitation of Microwave Coagulation Therapy (MCT) under laparotomy for the tumors, which anatomical location were classified by the trunk of hepatic vein (THV) and the proximal glisson (PG).Method : Twenty eight patients with hepatocellular carcinoma (HCC), who had not been able to receive hepatectomy because of their poor liver function, underwent laparotomic MCT. They were classified into three groups ; peripheral type (P group, 10 cases) : tumors located remote from THV and PC ; THV invading type (G group ; 9 cases) : tumors invaded or compressed THV ; PG invading type (G group : 9 cases) : tumors invaded or compressed PG.Results : No complication was not recognized in P group and one (11.1%) in V group, whereas three complications (33.3%) were noted in G group. No local recurrences (22.2%) in G group.Conclusions : MCT in the P and G groups seems to be indicated, however MCT should be carried out carefully in the G group because of the high morbidity rate of complications and recurrences related to bile duct.
特定非営利活動法人 Microwave Surgery研究会の論文