[Cryotherapy of liver tumors].
OBJECTIVE
To assess the value of cryodestruction during cytoreduction of liver tumors in the patients undergoing palliative treatment as well as evaluation of the frequency and type of complications of the method.


METHODS
Between 1990-2001, 33 cryodestruction of maligant tumors of liver were performed for primary tumor in 8 cases and for metastatic lesions in 25. Thirteen patients had single, and the remaining 20 multiple lesions in liver. In 11 cases cryotherapy supplemented resective procedures or devascularisation of liver parenchyma.


RESULTS
Mean time of follow-up was 14 months in the patients subjected to cryotherapy alone and 10 months in those subjected to cryotherapy as a supplementing modality. Postroperative complications related to cryotherapy did not exceed 9%, and overall mortality was 3%.


CONCLUSIONS
Cryoablation is valuable alternative for other methods of palliative treatment in the patients with liver tumors.
Kosowski
Krzysztof
K
I Katedra Chirurgii Ogólnej i Klinika Chirurgii Gastroenterologicznej, Collegium Medicum, Uniwersytetu Jagiellońskiego w Krakowie.
Nowak
Wojciech
W
Dancewicz
Wojciech
W
Milanowski
Wojciech
W
Skuciński
Jerzy
J
D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000601:surgery*; D017115:Catheter Ablation; D003452:Cryosurgery / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005770:Gastrointestinal Neoplasms / Q000473:pathology / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011044:Poland; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome