title: [Interstitial laser treatment of small hepatocarcinoma on cirrhosis without anesthesia: feasibility study].
abstract: OBJECTIVE
  We evaluated if interstitial laser photocoagulation (ILP) under ultrasound (US) guidance of intraparenchymal small HCC (<2 cm) in cirrhosis can be safely and effectively performed without any anesthesia.
  
  
  METHODS
  Twelve cirrhotic patients with 14 nodules of HCC (diameter 1.2-2.0 cm; mean: 1.7) underwent ILP. All procedures were performed without local or general anesthesia. Necrosis of the nodules was evaluated with triphasic contrast-enhanced CT.
  
  
  RESULTS
  Post-treatment CT showed complete necrosis in all cases. Pain occurred in 5 patients during the treatment was treated with iv pain-killer and only in 1 case the procedure was stopped before the scheduled time. No major complication occurred.
  
  
  CONCLUSIONS
  ILP under US guidance is feasible without any anesthesia in patients with small intraparenchymal HCC.
authors.affiliation: Dipartimento di Scienze Anestesiologiche, Chirurgiche e dell'Emergenza, V Divisione di Chirurgia Generale, Seconda Università degli Studi, Napoli.
authors.forename: L
authors.initials: L
authors.lastname: Tarantino
authors.forename: I
authors.initials: I
authors.lastname: Sordelli
authors.forename: D
authors.initials: D
authors.lastname: Parmeggiani
authors.forename: D
authors.initials: D
authors.lastname: Pisaniello
authors.forename: E
authors.initials: E
authors.lastname: Marzullo
authors.forename: M
authors.initials: M
authors.lastname: Di Marzo
authors.forename: A
authors.initials: A
authors.lastname: Santoriello
authors.forename: P
authors.initials: P
authors.lastname: Sperlongano
mesh_terms: D000368:Aged; D000758:Anesthesia; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008113:Liver Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged