[Interstitial laser treatment of small hepatocarcinoma on cirrhosis without anesthesia: feasibility study].
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.
Tarantino
L
L
Dipartimento di Scienze Anestesiologiche, Chirurgiche e dell'Emergenza, V Divisione di Chirurgia Generale, Seconda Università degli Studi, Napoli.
Sordelli
I
I
Parmeggiani
D
D
Pisaniello
D
D
Marzullo
E
E
Di Marzo
M
M
Santoriello
A
A
Sperlongano
P
P
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