title: Thoracoscopy-assisted magnetic resonance guided microwave coagulation therapy for hepatic tumors.
abstract: BACKGROUND
  Microwave coagulation therapy (MCT) has become a safe and effective modality with which to treat hepatic tumors; MCT can be applied percutaneously, laparoscopically, thoracoscopically, and during laparotomy. When combined with magnetic resonance (MR) imaging, MCT can be used to treat hepatic tumors located in the subdiaphragmatic area that are difficult to approach by ultrasound, because of the overlaying lower lung field.
  
  
  METHODS
  To determine the usefulness of thoracoscopy-assisted interventional MR-MCT (T-IVMR-MCT, n = 73), we compared patients with hepatic tumors that were treated with percutaneous IVMR-MCT (P-IVMR-MCT, n = 69) and with T-IVMR-MCT.
  
  
  RESULTS
  None of patient background, complication and recurrence rate, or length of hospital stay significantly differed between the 2 groups.
  
  
  CONCLUSIONS
  IVMR-MCT is a useful modality for treating hepatic tumors. Especially when tumors are located at the hepatic dome, T-IVMR-MCT was minimally invasive, while it appears to improve targeting of peridiagmatic hepatic lesions and has a complication profile similar to P-IVMR-MCT.
authors: Division of Gastrointestinal Surgery, Department of Surgery, Shiga University of Medical Science, Seta-tsukinowacho, Otsu, Shiga, Japan. shiomi@belle.shiga-med.ac.jp
authors: Hisanori
authors: H
authors: Shiomi
authors: Shigeyuki
authors: S
authors: Naka
authors: Koichirou
authors: K
authors: Sato
authors: Kouichi
authors: K
authors: Demura
authors: Kouichi
authors: K
authors: Murakami
authors: Tomoharu
authors: T
authors: Shimizu
authors: Shigehiro
authors: S
authors: Morikawa
authors: Yoshimasa
authors: Y
authors: Kurumi
authors: Tohru
authors: T
authors: Tani
mesh_terms: D004564:Electrocoagulation / Q000379:methods*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D053783:Magnetic Resonance Imaging, Interventional; D008297:Male; D008872:Microwaves / Q000627:therapeutic use*; D008875:Middle Aged; D015996:Survival Rate; D013906:Thoracoscopy