Download PDF
Rofo 2022; 194(06): 598-601
DOI: 10.1055/a-1692-1374
Brennpunkt

ABDOMEN/BECKEN – No-Touch-Radiofrequenzablation überzeugt bei kleinen hepatozellulären Karzinomen

› Further Information
Also available at
    Permissions and Reprints

Europäische Leitlinien empfehlen bei sehr frühen hepatozellulären Karzinomen die Radiofrequenzablation als Alternative zur chirurgischen Resektion. Hauptnachteil ist die schlechtere lokale Tumorkontrolle. Die No-Touch-Technik generiert ein Ablationsfeld und verhinderte in der klinischen Studie die lokale Tumorprogression.

Publication History

Article published online:
25 May 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Yang Y. et al. Liver resection versus radiofrequency ablation for recurrent hepatocellular carcinoma: a systematic review and meta-analysis. Int J Hyperthermia 2021; 38: 875-886
    CrossrefPubMedSearch in Google Scholar
  • 2 Cha DI, Song KD, Kang TW. et al. Small masses (</=3 cm) diagnosed as hepatocellular carcinoma on pre-treatment imaging: comparison of therapeutic outcomes between hepatic resection and radiofrequency ablation. Br J Radiol 2020; 93: 20190719
    CrossrefPubMedSearch in Google Scholar
  • 3 Uhlig J, Sellers CM, Stein SM. et al. Radiofrequency ablation versus surgical resection of hepatocellular carcinoma: contemporary treatment trends and outcomes from the United States National Cancer Database. Eur Radiol 2019; 29: 2679-2689
    CrossrefPubMedSearch in Google Scholar
  • 4 Benson AB. et al. Hepatobiliary Cancers, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw 2021; 19: 541-565
    CrossrefPubMedSearch in Google Scholar
  • 5 AWMF. Leitlinienprogramm Onkologie (Deutsche Krebsgesellschaft, Deutsche Krebshilfe, AWMF): Diagnostik und Therapie des Hepatozellulären Karzinoms und biliärer Karziome, Langversion 2.0, 2021, AWMF Registernummer: 032/053OL. https://www.leitlinienprogramm-onkologie.de/leitlinien/hcc-und-billiäre-karzinome
  • 6 Xuan D, Wen W, Xu D. et al. Survival comparison between radiofrequency ablation and surgical resection for patients with small hepatocellular carcinoma: A systematic review and meta-analysis. Medicine (Baltimore) 2021; 100: e24585
    CrossrefPubMedSearch in Google Scholar
  • 7 Wen L. et al. A Radiomics Nomogram for Preoperative Prediction of Early Recurrence of Small Hepatocellular Carcinoma After Surgical Resection or Radiofrequency Ablation. Front Oncol 2021; 11: 657039
    CrossrefPubMedSearch in Google Scholar
  • 8 Santambrogio R. et al. Micronvasive behaviour of single small hepatocellular carcinoma: which treatment?. Updates Surg 2021; 73: 1359-1369
    CrossrefPubMedSearch in Google Scholar
  • 9 Lee S. et al. Effect of Microvascular Invasion Risk on Early Recurrence of Hepatocellular Carcinoma After Surgery and Radiofrequency Ablation. Ann Surg 2021; 273: 564-571
    CrossrefPubMedSearch in Google Scholar
  • 10 Lin CH. et al. Minimally invasive surgery versus radiofrequency ablation for single subcapsular hepatocellular carcinoma </= 2 cm with compensated liver cirrhosis. Surg Endosc 2020; 34: 5566-5573
    CrossrefPubMedSearch in Google Scholar
  • 11 Hocquelet A. et al. Comparison of no-touch multi-bipolar vs. monopolar radiofrequency ablation for small HCC. J Hepatol 2017; 66: 67-74
    CrossrefPubMedSearch in Google Scholar
  • 12 Wang C. et al. Multicenter randomized controlled trial of percutaneous cryoablation versus radiofrequency ablation in hepatocellular carcinoma. Hepatology 2015; 61: 1579-1590
    CrossrefPubMedSearch in Google Scholar
  • 13 Dodd 3rd GD, Frank MS, Aribandi M. et al. Radiofrequency thermal ablation: computer analysis of the size of the thermal injury created by overlapping ablations. Am J Roentgenol 2001; 177: 777-782
    CrossrefPubMedSearch in Google Scholar
  • 14 Tacke J, Mahnken A, Roggan A. et al. Multipolar radiofrequency ablation: first clinical results. Rofo 2004; 176: 324-329
    CrossrefPubMedSearch in Google Scholar
  • 15 Bruners P, Schmitz-Rode T, Gunther RW. et al. Multipolar hepatic radiofrequency ablation using up to six applicators: preliminary results. Rofo 2008; 180: 216-222
    Thieme ConnectPubMedSearch in Google Scholar
  • 16 Bale R. et al. Stereotactic Radiofrequency Ablation of Hepatocellular Carcinoma: a Histopathological Study in Explanted Livers. Hepatology 2019; 70: 840-850
    CrossrefPubMedSearch in Google Scholar
  • 17 Fukutomi S. et al. Evaluation of hepatocellular carcinoma spread via the portal system by 3-dimensional mapping. HPB (Oxford) 2017; 19: 1119-1125
    CrossrefPubMedSearch in Google Scholar