Cic edizioni internazionali
Il Giornale di Chirurgia

La termoablazione con radiofrequenza dell’epatocarcinoma.
Nostra esperienza su 2012 trattamenti

Articolo, 149 - 151
Tag this article
Abstract
Full text PDF
Study: The 70% of the patients with HCC it is not susceptible of surgical resection and only the 5% of them is able to surgery. Alone 50% is monofocal really and the 93% of the patients with single HCC of smaller diameter to 2 cms will introduce new locations within 5 years making often impracticable a further liver resection. For such reasons in the years techniques are developed place regional less invasive as radiofrequency waves.
Methods: Our personal casuistry from 1996 to all enumerates 2012 liver thermal ablations, 167 mammary and 10 pulmonary. The liver TARF are so you divide: 764 for HCC, 674 for colorectal metastasis, 336 mammary, 96 ovarian, 71 from NETs, 74 gastric. 1442 TARFs are been performed with the employment of the system RITA, 165 with the system needle Radionics, 105 LTA. We have treated patient inoperable for center, dimensions, distribution of the lesions, for choice of the patient and for tall surgical risk..
Results: The complete ablation is gotten in 96,9% against the 88,2% of the colorettal metastasis and the 91,2% of the brast carcinoma.
The global survival has respectively been of 99%, 92%, 68%, 55%, 20% to 1-2-3-4-5. New lesions of HCC have appeared in 24% a first year, in 45% to the second, in 62% in the third one, in 73% in the quarter, in 76% in the in the fifth year.
Discussion: The thermal ablation with radiofrequency (TARF) uses waves to 460kHz that they determine ionic intracellular movement and heat around the electrode producing coagulative of the proteins.
The least satisfactory results are gotten for tumours of great diameter to 3 cms. Not there are no meaningful differences of the global survival if ablation has been complete or incomplete and further termoablazioni they increase the survival (1). The study of Mazzferro
demonstrated that 63% of the cases with HCC < 3 cms have gotten a complete answer and that the probability of recidivist increases of 59% to 12 months and of 70% to 18 months. The values change in presence of new locations 96,6-74,8-42,1 to 1-3-5. In literature the local recidivist is of 9%, 14,1%, 17,7% to 1-2-3 whereas the border of thermal ablatione has been < 5 mm. The distant recidivous 10,4%-52,5%-77% to 1-3-5.
Conclusions: The TARF is more frequently the treatment employee in the HCC.The advantages offered by the TARF are represented by the efficacious methodic.and the rare complicanzes.

Vol. XLI (No. 1) 2020 January - February

  1. Laparoscopic Roux-en-Y gastric bypass in the treatment of obesity: evidence based update through randomized clinical trials and meta-analyses
    Morales-Maza J., Rodriguez-Quintero J.H., Sanchez-Morales G.E., Sanchez Garcia-Ramos E., Romero-Velez G., Aguilar-Frasco J.L., Pimienta-Ibarra A.S., Alvarez-Bautista F.E., Leon P., Hernandez-Acevedo J.D., Del Angel-Millan G., Sierra M.
  2. Retroperitoneal sarcomas: from diagnosis to treatment. Case series and review of the literature
    Mantas D., Garmpis N., Polychroni D., Garmpi A., Damaskos C., Liakea A., Sypsa G., Kouskos E.
  3. The discriminative properties of erythrocyte anisocytosis in patients with resectable malignant pancreatic masses compared with an age and gender matched control group
    Akturk O.M., Çakir M.
  4. Diagnostic and therapeutic role of laparoscopy in perforated peptic ulcer in the elderly patients
    Giordano A., Prosperi P., Alemanno G., Bergamini C., Bruscino A., Valeri A.
  5. The role of laparoscopic surgery in isolated adrenal metastasis: our personal experience
    Frattolillo G., Paradiso G., Scarano Catanzaro V., Giordano L., Avantifiori R., D'Ermo G., Letizia C., De Toma G.
  6. Advances in bioengineering of complex tissues: state of the art of mucosae decellularization protocols
    Rizzo M.I., Contardi C., Esposito M., Zama M.
  7. An analysis of missed cases with surgical emergencies admitted in non-surgical departments. Case series and а review of the literature
    Popivanov G., Cirocchi R., Popov G., Stefanovski P., Andonova R., Kjossev K., Tonchev P., Tabakov M., Penkov M., Ivanov P., Mutafchiyski V.
  8. The evolution of robotic arm-assisted arthroplasty in Greece
    Koutserimpas C., Dretakis K.
  9. Current role of open surgery in adrenal tumors
    Chiappini A., Frattolillo G., Paradiso G., De Gori A., Scarano Catanzaro V., Avantifiori R., Fiori E., De Toma G.
  10. Preoperative fasting - “nihil per os” a difficult myth to break down: a randomized controlled study
    Panebianco A., Laforgia R., Volpi A., Punzo C., Vacca G., Minafra M., Di Salvo M., Pezzolla A.
  11. Sentinel lymph node biopsy with intraoperative touch imprint cytology (TIC) in breast cancer: experience of a mild-volume center
    Marano A., Sodano B., Vitiello C., Martini A.M., Baldassarre F., Siciliano A., Iannaci G.
  12. Spontaneous transdiaphragmatic intercostal hernia: clinical considerations and management
    Lonardo M.T., Frezzotti F., Collalti M., Natili A., Metere A.
  13. Systemic immune response after open tension-free inguinal hernia repair under different anesthetic alternatives: a prospective comparative study
    Symeonidis D., Diamantis A., Baloyiannis I., Tzovaras G., Tepetes K.
  14. Minilaparotomic incision for haemorrhagic corpus luteum: a case report
    Leanza V., Mininni C., Di Grazia F.M., Genovese F., Carbonaro A., Leanza G., Palumbo M.
  15. Conservative management of streptococcal necrotizing periorbital fasciitis following primary VZV infection
    Kontou E., Bontzos G., Triantafyllou D., Garnavou-Xirou C., Ragkousis A., Xirou T.
  16. Relief of hemorrhoid symptoms: pilot study of a new topical ally
    Gaj F., Bianchi F.P., Passannanti D., Tedesco D.
  17. Topical use of tranexamic acid in primary total knee arthroplasty: a comparative study
    Besiris G.TH., Koutserimpas C., Karamitros A., Karaiskos I., Tsakalou D., Raptis K., Kourelis K., Paxinos O., Kotsirakis A., Vlasis K.
  18. Insights in clinical examination and diagnosis of Athletic Pubalgia
    Koutserimpas C., Ioannidis A., Konstantinidis M.K., Makris M.C., Antonakopoulos F., Mazarakis A., Papagelopoulos P.J., Vlasis K., Konstantinidis M.K.
Last Viewed articles: la lista degli ultimi x visitati.
  1. La termoablazione con radiofrequenza dell’epatocarcinoma.
    Nostra esperienza su 2012 trattamenti

    Cabula C.
credits