Clinical efficacy of laparoscopic radiofrequency ablation of hepatocellular carcinoma in liver cirrhosis patients / 中华普通外科杂志

ABSTRACT

Objective To investigate the clinical effect of laparoscopic radiofrequency ablation of hepatocellular carcinoma in liver cirrhosis patients.Methods The clinical data of 26 patients who underwent laparoscopic radiofrequency ablation were analyzed.Tumor location,size,and number,operation time,radiofrequency ablation time,intraoperative blood loss,postoperative complications and follow-up were recorded.Results Laparoscopic radiofrequency ablation were successfully performed in all patients under guiding color Doppler ultrasound.Mean operative time was (126 ± 32) min,intraopertive blood loss was (5-50) ml,there was no perioperative blood transfusion;there was no major complications such as bile leakage,bleeding,infection and liver failure postoperatively.There were 3 cases of ascites and 1 case of right pleural effusion,all being recovered by conservative therapy.The median hospitalization time was 3(2-7) days.23 patients were followed up for a median of 10(2-17) months,2 cases suffered from recurrence during follow-up with 1 case undergoing repeated ablation therapy.Conclusions Laparoscopic radiofrequency ablation of hepatocellular carcinoma in liver cirrhosis patients is safe and feasible,with the advantages of less damage to liver function,less trauma and low incidence of postoperative complications.