[Radiofrequency for the treatment of liver tumors].
Radiofrequency is performed with thin electrodes that are placed in the center of a tumor under ultrasonographic guidance. Radiofrequency waves induce ionic agitation which destroys neighboring tissues by heat. The most recent equipment can produce necrosis of 4-cm diameter areas. Efficacy is enhanced by blocking intrahepatic blood flow which naturally refreshes the liver parenchyma. The technique has the advantage of minimal invasion and of sparing liver parenchymal tissue. radiofrequency can be performed percutaneously or by laparoscopi or laparotomy. results in most reported series have been good with low morbidity. rapid improvment of material and of new associated procedures (vascular clamping, cooling infusion of the bile ducts, transplaeurodiaphragmatic approach, combination with other new approaches in liver surgery) are continuously modifying performance levels and potential indications curently under validation. radiofrequency, like other tools for local tumor destruction, will greatly change our therapeutic strategies in the neat future.
Elias
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Service de Chirurgie Digestive Carcinologique, Institut Gustave Roussy-Villejuif, Cedex, France. elias@igr.fr
De Baere
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T
D017115:Catheter Ablation / Q000295:instrumentation / Q000379:methods; D017679:Cryotherapy; D004566:Electrodes; D006498:Hepatectomy; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors