[Advantages and disadvantages of L-TAE in diagnosis and treatment of hepatocellular carcinoma].
Transcatheter arterial embolization using lipiodol ultra-fluid (L-TAE) is frequently used for hepatocellular carcinoma (HCC). Its advantages are: (1) Excellent therapeutic and diagnostic ability in our pathological study of 153 resected tumors. (2) Preoperatively, we can localize HCC and prevent spreading of cancer cells by manipulation at hepatectomy. (3) Postoperatively, we can detect and treat recurrence early, and we hope to prevent recurrence by repeated L-TAE. (1) Liver infarction has occurred after L-TAE, because some lipiodol flows into the portal vein. Lipiodol remains long in the infarction area and interferes with the diagnosis of HCC. (2) Liver abscess has rarely occurred. (3) Repeated L-TAE does not impair the liver function much.
Shimamura
Y
Y
Dept. of Surgery, National Matsudo Hospital.
Ishii
M
M
Shima
Y
Y
Takenaka
H
H
Taniguchi
H
H
Watanabe
H
H
Kitai
S
S
Sugai
S
S
Takahashi
A
A
Kitaya
T
T
D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods; D006498:Hepatectomy; D006499:Hepatic Artery; D006801:Humans; D007238:Infarction / Q000209:etiology; D007459:Iodized Oil / Q000008:administration & dosage; D008099:Liver / Q000098:blood supply; D008100:Liver Abscess / Q000209:etiology; D008113:Liver Neoplasms / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D011182:Postoperative Care; D011300:Preoperative Care
D007459:Iodized Oil