title: Successful laparoscopic radiofrequency ablation of hepatocellular carcinoma adhered to the mesentery after transcatheter arterial embolization.
abstract: 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.
authors.affiliation: Third Department of Internal Medicine, Kagawa University School of Medicine, Kagawa 761-0793, Japan.
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Kurokohchi
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Masaki
authors.forename: Takashi
authors.initials: T
authors.lastname: Himoto
authors.forename: Akihiro
authors.initials: A
authors.lastname: Deguchi
authors.forename: Seiji
authors.initials: S
authors.lastname: Nakai
authors.forename: Hirohito
authors.initials: H
authors.lastname: Yoneyama
authors.forename: Shuhei
authors.initials: S
authors.lastname: Yoshida
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Kimura
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Inoue
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Kinekawa
authors.forename: Akira
authors.initials: A
authors.lastname: Yoshitake
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Izuishi
authors.forename: Seishiro
authors.initials: S
authors.lastname: Watanabe
authors.forename: Shigeki
authors.initials: S
authors.lastname: Kuriyama
mesh_terms: 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