Changes in interleukin-1β and 6 after hepatic microwave tissue ablation compared with radiofrequency, cryotherapy and surgical resections.
BACKGROUND
Cytokine changes after microwave tissue ablation (MTA) were compared with hepatic resection, cryotherapy (CRYO), and radiofrequency ablation (RFA). Cytokine production was measured at various ablation volumes for each modality and correlated with the transitional inflammatory zone produced by the ablation techniques.


METHODS
Live rats underwent MTA, surgical resection, CRYO or RFA of 15%, 33%, or 66% of the total hepatic volume. Serum samples were collected preoperatively and at 1, 3, 6, 24, and 48 hours after surgery and analyzed for pro-inflammatory cytokines interleukin (IL)-1β and IL-6.


RESULTS
Significantly higher levels of both cytokines were present after CRYO and RFA compared with MTA, hepatic resection, or controls (P < .001). All animals survived except those undergoing RFA or CRYO of 66% of the hepatic volume, which died within 6 hours. Transitional zones produced after RFA were larger than those after CRYO or MTA, but no correlation was present with the amount of cytokines.


CONCLUSIONS
Large-volume MTA is associated with a significant decreased cytokine response and is well tolerated compared with RFA and CRYO.
Ahmad
Fateh
F
Department of Hepatobiliary and Pancreatic Surgery, Leicester Royal Infirmary, Leicester, UK.
Gravante
Gianpiero
G
Bhardwaj
Neil
N
Strickland
Andrew
A
Basit
Rizwan
R
West
Kevin
K
Sorge
Roberto
R
Dennison
Ashley R
AR
Lloyd
David M
DM
D000818:Animals; D015415:Biomarkers / Q000097:blood; D017115:Catheter Ablation / Q000379:methods*; D017679:Cryotherapy / Q000379:methods*; D004195:Disease Models, Animal; D006498:Hepatectomy / Q000379:methods*; D007249:Inflammation / Q000097:blood; D053583:Interleukin-1beta / Q000097:blood*; D015850:Interleukin-6 / Q000097:blood*; D008107:Liver Diseases / Q000097:blood / Q000473:pathology / Q000628:therapy*; D008297:Male; D008872:Microwaves / Q000627:therapeutic use*; D011184:Postoperative Period; D051381:Rats; D017207:Rats, Sprague-Dawley
D015415:Biomarkers; D053583:Interleukin-1beta; D015850:Interleukin-6