[Comparison of shaft temperature related treatment efficacy between "air-cooled" microwave coagulation and traditional microwave coagulation].
OBJECTIVE
The application and development of traditional percutaneous microwave coagulation therapy (PMCT) has been limited by high shaft temperature. The "air-cooled" PMCT is the newest advancement. This study was to compare shaft temperature related treatment efficacy between "air-cooled" PMCT and traditional PMCT.


METHODS
Two pigs underwent traditional PMCT, and "air-cooled" PMCT at 80 W for 10 min separately. Skin injury, surface temperature of guide-needle, charring tissue sticking to the shaft, and lesion shape in 2 pigs were compared. Five patients with liver tumor received traditional PMCT, and 8 patients with liver tumor received "air-cooled" PMCT. Feeling of pain, skin injury, charring tissue sticking to the shaft, local therapeutic efficacy, and recurrence of these 2 groups of patients were compared.


RESULTS
In the pig underwent traditional PMCT, surface temperature of guide-needle reached 119-160 Centigrade; skin burn around puncture points was serious; charring tissue stuck to the front of electrodes; a trail sign was observed in coagulated lesion. In the pig underwent "air-cooled" PMCT, surface temperature of guide-needle was 28.8-39.9 Centigrade; no skin injury was found around puncture points; no charring tissue stuck to the front of electrodes; no obvious trail sign was observed in coagulated lesion. In 5 patients received traditional PMCT, 3 had skin injury; 2 had charring tissue stuck to the front of electrode; all felt moderate or serious epigastric pain lasted for 1-8 weeks; 4 had complete coagulation; 1 had local recurrence. In 8 patients received "air-cooled" PMCT, no one had skin injury, and charring tissue stuck to "air-cooled" electrode; 4 felt slight epigastric pain within 1 week; all had complete coagulation; no local recurrence was found.


CONCLUSIONS
The technique of "air-cooled" electrode may decrease temperature of shaft safely and reliably, and eliminate side effects arose from high temperature of shaft. Treatment efficacy of "air-cooled" PMCT is better than that of traditional PMCT.
Zheng
Yun
Y
Department of Hepatobiliary Surgery, Cancer Center, Sun Yat-sen University, Guangzhou, Guangdong, 510060, P.R.China. yunnoz@163.com
Li
Jin-Qing
JQ
Chen
Min-Shan
MS
Zhang
Yao-Jun
YJ
Zhang
Ya-Qi
YQ
D000818:Animals; D004564:Electrocoagulation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008872:Microwaves / Q000627:therapeutic use*; D008875:Middle Aged; D013552:Swine; D014463:Ultrasonography