ABSTRACT
Objective:To evaluate the laparoscopic joint comeback guided radiofrequency ablation for hepatic hemangioma clinical application and evaluation of efficacy and safety.Methods:The clinical data were treated from August 2010 to August 2015 period 81 cases of hepatic hemangioma (HCH) patients analyzed.Patients met the inclusion criteria were divided into 33 cases of laparoscopic radiofrequency ablation(LRFA) group,laparoscopic resection(LR) group 22 cases,26 cases of open surgery group.Changes were detected before and after surgery of liver function;record the operation time and hospital stay,blood loss,postoperative complications and compared.Results:Effect of three groups of liver function are transient in nature.LRFA complication rate (15.2％) was significantly lower than the LR group (36.4％) and surgical resection group (50.0％),the difference was statistically significant (P＜0.05.Open surgery operative time,hospital stay was significantly longer than the other two groups;and LRFA group of patients had no bleeding,no blood transfusion cases,significantly lower than the LR and open surgical resection group.Conclusion:LRFA treatment HCH,both advantages and laparoscopic radiofrequency ablation,combined with joint endoscopic ultrasonic guidance makes it more secure and less complications,is a safe and effective method of treatment of hepatic hemangioma,worthy of promotion.
ABSTRACT
Objective:To explore the clinical characteristics,imaging features,biological characteristics,treatment and prognosis of solid-pseudopapillary tumor of pancreas(SPT).Methods:Retrospectively reviewed and analyzed clinical and pathological data of 49 cases of SPT from 2007.3 to 2017.3.Results:Among 49 SPT patients,11 males and 38 females,male-to-female ratio was 1∶3.5,with a mean age of (31.4 ± 13.2)years old.There was nonspecific symptoms among patients.Preoperative imaging help to determine the location of the tumor and make the correct diagnosis,but the nature of the tumor remains to be pathologically confirmed.All of patients renceived surgery,47 patients were treated by radical tumor resection,21 patients presented with postoperative complications,the most common complication was pancreatic fistula.Conclusion:Solid pseudopapillary tumor(SPT) is a rare low grade malignancy more frequent in young women with non-specific clinical characteristics.Preoperative imaging has important significance in the preoperative and differential diagnosis.Most of patients can receive radical resection and have good prognosis.