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"Dual-scopic" intraoperative radiofrequency ablation for the treatment of a hepatic metastatic tumor located beneath the diaphragm.

Authors
 Chang Moo Kang  ;  Kwang Hoon Lee  ;  Kang Mi Kim  ;  Seung Hyuk Baik 
Citation
 SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, Vol.18(2) : 202-206, 2008 
Journal Title
 SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES 
ISSN
 1530-4515 
Issue Date
2008
MeSH
Catheter Ablation/methods* ; Colonic Neoplasms/pathology ; Diaphragm ; Female ; Humans ; Laparoscopy* ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery* ; Middle Aged ; Thoracoscopy* ; Tomography, X-Ray Computed
Keywords
thoracoscopic ; laparoscopic ; radiofrequency ablation ; hepatic metastasis ; colorectal caner
Abstract
Surgical resection leaving negative margins provides the only chance for a cure in hepatic metastasis of colorectal cancer. Tumor ablation techniques are known for their reliability and effectiveness in the treatment of primary and metastatic hepatic tumors. Among these treatment modalities, radiofrequency ablation (RFA) is commonly used for local control of primary and metastatic hepatic tumors with acceptable complication rates. Although the percutaneous approach is the usual route for RFA application, both laparoscopic approach and laparotomy can also be used. Hepatic tumors, located immediately beneath the diaphragm (segment VIII), are not suitable for percutaneous RFA due to the risks of injuring the diaphragm, and poor visualization by ultrasonography. Herein, we present a case of hepatic metastatic tumor located immediately beneath the diaphragm successfully treated by "dual-scopic" approach. A 50-year-old female patient had previously undergone an extended right hemicolectomy for transverse colon cancer, and she visited our department for hepatic metastasis on the dome of liver. She successfully underwent percutaneous transthoracic transdiaphragmatic intraoperative RFA under the guidance of a combination of thoracoscopic and laparoscopic approaches.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00129689-200804000-00015&LSLINK=80&D=ovft
DOI
10.1097/SLE.0b013e31815ccb0c
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Lee, Kwang Hun(이광훈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107295
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