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개복하 고주파열치료(Radiofrequency Ablation) 후 발생한 합병증 증례 ; 개복하 고주파열치료 후 발생한 발열, 혈소판 감소증 및 간기능 저하

Other Titles
 Fever, Thrombocytopenia and the Deterioration of Liver Function after Open Surgical Radiofrequency Ablation Therapy 
Authors
 이재길  ;  김석모  ;  김경식  ;  원종윤  ;  유내춘  ;  윤동섭  ;  최진섭  ;  이우정  ;  김병로 
Citation
 Journal of the Korean Liver Cancer Study Group (대한간암연구학회지), Vol.5(1) : 71-74, 2005 
Journal Title
 Journal of the Korean Liver Cancer Study Group (대한간암연구학회지) 
ISSN
 2233-6389 
Issue Date
2005
MeSH
Hepatocellular carcinoma ; Radiofrequency thermal ablation ; Open surgical approach ; Thrombocytopenia ; Deterioration of liver function
Keywords
Hepatocellular carcinoma ; Radiofrequency thermal ablation ; Open surgical approach ; Thrombocytopenia ; Deterioration of liver function
Abstract
The surgical resection is the only curative modality for hepatocellular carcinoma (HCC); however the surgical approach is limited by residual function of liver and multiplicity of tumor. The radiofrequency ablation (RFA) is introduced recently as a therapeutic modality, an alternative to percutaneous ethanol injection therapy (PEIT) for HCC. The advantages of open surgical RFA include better cancer staging with open intraoperative ultrasound, the availability of an intraoperative ultrasound guide system, the accessibility to tumors in all areas of the liver, avoidance of adjacent organ injury, the ability to perform hepatic inflow occlusion which reduces the heat-sink effect, and the possibility of combining RFA with hepatic resection. The complications after open surgical radiofrequency ablation are rarely reported. A 59 year old man with fever, thrombocytopenia and the deterioration of liver function after open surgical RFA was experienced. The patient’s hepatic function was given a Child-Pugh score of A6 points and the value of ICG R15 test was 55.2%. The open surgical RFA was performed on the S2, S3, S4 and S8. Although the patient was fully recovered without sequelae by conservative managements, the inclusion criteria have to be established carefully through following reviews on clinical results after open surgical RFA.
Files in This Item:
T200500708.pdf Download
DOI
OAK-2005-04154
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Kim, Byong Ro(김병로)
Won, Jong Yun(원종윤) ORCID logo https://orcid.org/0000-0002-8237-5628
Yoo, Nae Choon(유내춘)
Yoon, Dong Sup(윤동섭) ORCID logo https://orcid.org/0000-0001-6444-9606
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Choi, Jin Sub(최진섭)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/150544
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