Successful laparoscopic radiofrequency ablation of hepatocellular carcinoma adhered to the mesentery after transcatheter arterial embolization.
A 54-year-old male with hepatocellular carcinoma (HCC) underwent transcatheter arterial embolization (TAE) at a nearby hospital. He was then referred to our hospital for the purpose of additional treatment of HCC. Because TAE was not a complete therapy and HCC was growing and protruding from the left lobe of the liver, laparoscopic radio-frequency ablation (RFA) was chosen for the treatment of HCC. After inserting a laparoscope into the abdominal cavity, it was observed that HCC unexpectedly adhered to the mesentery as a result of TAE performed previously. After cutting off the adhered mesentery and removing it from the tumor, the combination therapy of percutaneous ethanol injection and RFA (PEI-RFA), developed at our department, was performed on the tumor. The tumor was successfully abrogated by PEI-RFA and the sufficient safety margin was confirmed by computed tomography after the treatment.
Kurokohchi
Kazutaka
K
Third Department of Internal Medicine, Kagawa University School of Medicine, Kagawa 761-0793, Japan.
Masaki
Tsutomu
T
Himoto
Takashi
T
Deguchi
Akihiro
A
Nakai
Seiji
S
Yoneyama
Hirohito
H
Yoshida
Shuhei
S
Kimura
Yasuhiko
Y
Inoue
Hideyuki
H
Kinekawa
Fumihiko
F
Yoshitake
Akira
A
Izuishi
Kunihiko
K
Watanabe
Seishiro
S
Kuriyama
Shigeki
S
D001158:Arteries / Q000601:surgery; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D017115:Catheter Ablation; D002404:Catheterization; D004621:Embolization, Therapeutic; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D008297:Male; D008643:Mesentery / Q000473:pathology; D008875:Middle Aged