[Liver tumor ablation].
Minimal-invasive techniques for ablation of primary and secondary hepatic tumors gain increasingly clinical importance. This is especially true since surgical resection and classic chemotherapy is successful only in a limited number of patients. Local ablative methods incorporate chemo- (percutaneous alcohol instillation, transarterial chemoembolization), thermo- (radiofrequency-, laser-, microwave-, cryoablation, high intensive focused ultrasound) and radio-ablative techniques (interstitial brachytherapy, selective internal radiotherapy). Regarding their implementation and specific effects these methods are varying widely, nevertheless all of them have a high therapeutical efficacy together with a low complication rate in common-correct application presumed. The knowledge on specific indications and contraindications is crucial to implement these methods into multimodality therapy concepts.
Helmberger
Th
T
Institut für Radiologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck. thomas.helmberger@uni-luebeck.de
Hoffmann
R-Th
RT
Jakobs
T
T
Leibecke
Th
T
Lubienski
A
A
Reiser
M
M
D001918:Brachytherapy; D006528:Carcinoma, Hepatocellular / Q000401:mortality / Q000628:therapy*; D003131:Combined Modality Therapy; D003952:Diagnostic Imaging; D006801:Humans; D008113:Liver Neoplasms / Q000401:mortality / Q000556:secondary / Q000628:therapy*; D019060:Minimally Invasive Surgical Procedures; D025321:Surgery, Computer-Assisted; D015996:Survival Rate