Influence of approach on outcome in radiofrequency ablation of liver tumors.
In this article some recent data concerning the approach on radiofrequency ablation (RFA) of liver tumors are reviewed. Specifically, several critical statements between surgical and percutaneous approach are raised and discussed: (1) Open approach may lead to a higher complication rate; (2) Temporary occlusion of hepatic inflow during surgical approach may lead to a higher rate of ablation of the liver tumors; (3) Surgical approach may permit better targeting of the tumor to be ablated. (4) Surgical approach may discover additional liver tumors. Finally, several conclusions and recommendations are also addressed.
Burdio
Fernando
F
Unidad de Cirugía Hepática y Biliopancreática, Servicio de Cirugía General, Hospital del Mar, Passeig Maritim 25-29, Barcelona, Spain. fburdio@hotmail.com
Mulier
Stefaan
S
Navarro
Ana
A
Figueras
Juan
J
Berjano
Enrique
E
Poves
Ignasi
I
Grande
Luis
L
D017115:Catheter Ablation / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D016896:Treatment Outcome