肝硬変合併肝細胞癌におけるマイクロ波凝固併用肝切除術の有用性

概要

論文の詳細を見る
For hepatocellular carcinoma (HCC), surgical resection is the optimal treatment, however, the amount of resectable hepatic parenchyma is limited because of liver cirrhosis. We evaluated the advantage of microwave coagulation for liver resection in 16 liver cirrhotic patients. The patients were divided into three groups according to surgical procedures. Group R (n = 5) : patients underwent liver resection without microwave coagulation. Group MR (n = 6) : patients underwent liver resection using microwave coagulation. Group M (n = 5) : patients underwent microwave coagulation therapy with thoracotomy. We compared with Group MR with Group R in operation time, blood loss, postoperative peak GOT and CRP levels. Group MR significantly shortened operation time (p = 0.001), and decreased blood loss during operation (p = 0.008) compared with Group R. These findings suggest that microwave coagulation is useful for liver rection in cirrhotic patients.
特定非営利活動法人 Microwave Surgery研究会の論文