Local ablative procedures of the liver

C. F. Dietrich; X. W. Cui; L. Chiorean; L. Appelbaum; E. Leen; A. Ignee

doi:10.1055/s-0034-1399446

Zeitschrift für Gastroenterologie, Table of Contents

Z Gastroenterol 2015; 53(06): 579-590
DOI: 10.1055/s-0034-1399446

Übersicht

Local ablative procedures of the liver

Lokal ablative Prozeduren in der Leber

C. F. Dietrich

¹Sino-German Research Center of Ultrasound in Medicine, The first Affiliated Hospital of Zhengzhou University, China

²II. Medizinische Klinik, Caritas Krankenhaus, Bad Mergentheim, Germany

,

X. W. Cui

¹Sino-German Research Center of Ultrasound in Medicine, The first Affiliated Hospital of Zhengzhou University, China

²II. Medizinische Klinik, Caritas Krankenhaus, Bad Mergentheim, Germany

,

L. Chiorean

¹Sino-German Research Center of Ultrasound in Medicine, The first Affiliated Hospital of Zhengzhou University, China

²II. Medizinische Klinik, Caritas Krankenhaus, Bad Mergentheim, Germany

,

L. Appelbaum

³Radiology Department, Hadassah Hebrew University Medical Center, Jerusalem, Israel

,

E. Leen

⁴Imaging Department, Imperial College London, Hammersmith Hospital Campus, London, United Kingdom

,

A. Ignee

²II. Medizinische Klinik, Caritas Krankenhaus, Bad Mergentheim, Germany

› Author Affiliations

Abstract

Local ablative therapies have become an important part in the portfolio of treatment for patients with malignant tumors especially in the liver. Although percutaneous ethanol injection still plays a role, current guidelines favor radiofrequency ablation with a higher efficacy for complete tumor destruction. Nevertheless transplantation and surgical resection remain the gold standard due to their superiority in local control and improved survival. In this manuscript we discuss the technique in detail.

Zusammenfassung

Lokal ablative Therapieformen haben sich bei der Behandlung von Patienten mit bösartigen Tumorerkrankungen der Leber etabliert. Obwohl die Alkoholinjektionstherapie immer noch weltweit eine große Rolle spielt, hat sich die Radiofrequenzthermoablation gegenüber der Alkoholinjektion und anderen Injektionsstrategien durchgesetzt. Dies liegt insbesondere an der größeren Chance zur kompletten Tumordestruktion. Transplantation und chirurgische Resektion müssen als Goldstandard vor Durchführung von lokal ablativen Verfahren ausreichend geprüft werden. In dem hier vorliegenden Manuskript diskutieren wir das Indikationsspektrum und Technik der Radiofrequenzthermoablation.

Schlüsselwörter

Leber - hepatozelluläres Karzinom - Nierenzellkarzinom - Metastase - Ablation - Richtlinien - Interventionen - Komplikation

Key words

liver - hepatocellular carcinoma - renal cell cancer - metastasis - ablation - guidelines - intervention - complication

Full Text

References

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