title: Gallbladder needle decompression during radiofrequency ablation of an adjacent liver tumour.
abstract: Gallbladder perforation with bile leak can result from thermal injury during radiofrequency ablation of liver tumours. Two case studies demonstrate a technique for preventing gallbladder injury to the peritoneal surface of a distended gallbladder adjacent to the anticipated hepatic ablation zone. The use of percutaneous gallbladder needle decompression can safely separate or retract the peritoneal surface of the gallbladder from a contiguous hepatic radiofrequency ablation zone.
authors.affiliation: Harvard Medical School, Boston, MA, USA.
authors.forename: Dellano D
authors.initials: DD
authors.lastname: Fernandes
authors.forename: Paul B
authors.initials: PB
authors.lastname: Shyn
authors.forename: Stuart G
authors.initials: SG
authors.lastname: Silverman
mesh_terms: D000368:Aged; D001646:Bile; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D003287:Contrast Media; D019299:Decompression, Surgical / Q000295:instrumentation*; D005260:Female; D005704:Gallbladder / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D009339:Needles; D018084:Ultrasonography, Interventional
chemical_list: D003287:Contrast Media