title: Complete radio frequency ablation of hepatocellular carcinoma adjacent to the main bile duct and blood vessels between the first and the second hepatic portal.
abstract: In cases where hepatocellular carcinoma cannot be surgically removed either due to the capacity of hepatic functional reserve or the special location of the tumor, a radiofrequency ablation (RFA) is recognized to be an effective and minimally invasive treatment. However, when the tumor is adjacent to the main bile duct and blood vessels, it is feared that due to the "heat-sink effect" of the blood and the possible damage to the duct and blood vessels, complete tumor ablation is hard to achieve. We report here a case of complete RFA of hepatocellular carcinoma, adjacent to the main bile duct and blood vessels between the first and the second hepatic portal, with emphasis on the safety of the approach for complete ablation of the tumor.
authors.affiliation: Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Fuxing Road 28, Beijing, 100853, China.
authors.forename: Jiang
authors.initials: J
authors.lastname: Kai
authors.forename: Su
authors.initials: S
authors.lastname: Ming
authors.forename: Liu
authors.initials: L
authors.lastname: Yang
authors.forename: Zhang
authors.initials: Z
authors.lastname: Wen-zhi
authors.forename: Zhao
authors.initials: Z
authors.lastname: Xiang-qian
authors.forename: Liu
authors.initials: L
authors.lastname: Zhe
authors.forename: Lv
authors.initials: L
authors.lastname: Wen-ping
authors.forename: Liu
authors.initials: L
authors.lastname: Zhi-wei
authors.forename: Dong
authors.initials: D
authors.lastname: Jia-hong
mesh_terms: D001652:Bile Ducts; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000601:surgery*; D017115:Catheter Ablation; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior