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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.92 No.5
- 발행연도
- 2017.5
- 수록면
- 355 - 360 (6page)
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초록· 키워드
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Purpose: Percutaneous radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC) has some limitations such as poor sonic window and injury to adjacent organs. The laparoscopic approach has been suggested as an alternative option. The aim of this study was to show the safety and efficacy of laparoscopic RFA for single, small (≤3 cm), and primary or recurrent HCC that is not suitable for percutaneous RFA or surgical resection.
Methods: We reviewed the cases of 37 patients (32 men and 5 women, mean age 61 ± 8.1 years) who underwent laparoscopic RFA for single, small HCC (≤3 cm) that was unsuitable for percutaneous RFA or surgical resection.
Results: The technical success rate was 94.6% and 34 patients (95%) had no complications. There were no conversions to open RFA and no operative mortality. The primary effectiveness rate 1 month after the procedure was 100%. The overall recurrence rates at 3, 6, 12, and 24 months after the laparoscopic RFA were 8.1%, 14.4%, 25%, and 35.7%, respectively. The local tumor progression rate was 4.2% at 6 months and 8.7% at 9 months.
Conclusion: Laparoscopic RFA is a safe and effective treatment for HCC cases that are unsuitable for percutaneous RFA.
Methods: We reviewed the cases of 37 patients (32 men and 5 women, mean age 61 ± 8.1 years) who underwent laparoscopic RFA for single, small HCC (≤3 cm) that was unsuitable for percutaneous RFA or surgical resection.
Results: The technical success rate was 94.6% and 34 patients (95%) had no complications. There were no conversions to open RFA and no operative mortality. The primary effectiveness rate 1 month after the procedure was 100%. The overall recurrence rates at 3, 6, 12, and 24 months after the laparoscopic RFA were 8.1%, 14.4%, 25%, and 35.7%, respectively. The local tumor progression rate was 4.2% at 6 months and 8.7% at 9 months.
Conclusion: Laparoscopic RFA is a safe and effective treatment for HCC cases that are unsuitable for percutaneous RFA.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (17)
참고문헌 신청
[학술지(정기간행물)] - Yamashita Y / 2012 / Predictors for microinvasion of small hepatocellular carcinoma ≤ 2 cm / Ann Surg Oncol 19 : 2027 ~ 2034
[학술지(정기간행물)] - Kim JM / 2013 / Protein induced by vitamin K antagonist-II(PIVKA-II)is a reliable prognostic factor in small hepatocellular carcinoma / World J Surg 37 : 1371 ~ 1378
[학술지(정기간행물)] - Kang TW / 2015 / Small hepatocellular carcinoma : radiofrequency ablation versus nonanatomic resection : propensity score analyses of long-term outcomes / Radiology 275 : 908 ~ 919
[학술지(정기간행물)] - Feng K / 2012 / A randomized controlled trial of radiofrequency ablation and surgical resection in the treatment of small hepatocellular carcinoma / J Hepatol 57 : 794 ~ 802
[학술지(정기간행물)] - 이승덕 / 2012 / Safety and efficacy of laparoscopic radiofrequency ablation for hepatic malignancies / 대한외과학회지 83 (1) : 36 ~ 42
[학술지(정기간행물)] - Kim JM / 2013 / Protein induced by vitamin K antagonist-II(PIVKA-II)is a reliable prognostic factor in small hepatocellular carcinoma / World J Surg 37 : 1371 ~ 1378
[학술지(정기간행물)] - Kang TW / 2015 / Small hepatocellular carcinoma : radiofrequency ablation versus nonanatomic resection : propensity score analyses of long-term outcomes / Radiology 275 : 908 ~ 919
[학술지(정기간행물)] - Feng K / 2012 / A randomized controlled trial of radiofrequency ablation and surgical resection in the treatment of small hepatocellular carcinoma / J Hepatol 57 : 794 ~ 802
[학술지(정기간행물)] - 이승덕 / 2012 / Safety and efficacy of laparoscopic radiofrequency ablation for hepatic malignancies / 대한외과학회지 83 (1) : 36 ~ 42
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UCI(KEPA) : I410-ECN-0101-2018-514-000801147