Radiofrequency Ablation of Liver Tumors
|
|
- Ralf Cole
- 6 years ago
- Views:
Transcription
1 Radiofrequency Ablation of Liver Tumors Michael M. Awad, Michael A. Choti Indications and Contraindications Indications Unresectable malignant tumors of the liver (e.g., hepatocellular carcinoma, colorectal metastases, neuroendocrine tumors, selected other types of metastases) Tumors <5cm in size (most effective for lesions <3cm) Palliative treatment of symptomatic tumors (e.g., neuroendocrine metastases) Bridge to liver transplantation (hepatocellular carcinoma) Access: Open: In combination with resection When resection is planned, but unresectability is found at time of laparotomy In difficult locations or selected cases when multiple ablations are required percutaneus: not discussed in this atlas Laparoscopic: Patient fulfills basic requirements to undergo surgery Lesion(s) amenable to laparoscopic approach percutaneus: not discussed in this atlas Contraindications Extrahepatic disease (unless extrahepatic sites are resectable or when there is palliative indication) Perihilar tumor location Significant coagulopathy or thrombocytopenia Ascites Previous bilio-enteric anastomosis (relative contraindication due to the increased risk of hepatic abscess following radiofrequency ablation, RFA) Preoperative Investigation and Preparation for the Procedure CT or MRI: Assessment to rule out resectability and determine if lesions are ablatable PET: Evaluation for presence of extrahepatic disease (e.g., colorectal metastases) In operating Grounding pads (varies depending on RFA manufacturer) room: Place greater than 50cm from electrode Orient pads with long axis perpendicular to body axis Use multiple pads when indicated
2 410 SECTION 3 Liver Guidance Imaging Modality Imaging is used for lesion localization, probe guidance, and ablation monitoring. The following features of each imaging modality must be considered. Ultrasound Most common method used Inexpensive and real time feedback Sometimes difficult to visualize lesion adequately Increased echogenicity from microbubbles Microbubbles are not a true representation of zone of coagulation necrosis Echogenicity may obscure further needle positioning Alternatives: CT or MRI Transaxial needle track required CT fluoroscopy is a useful adjunct For MRI, a compatible RFA needle is required Probe Selection A number of different probes are commercially available for performing RFA (A-1, A-2, A3). Probes are typically gauge, 15 25cm long, insulated cannulas containing one to three straight needle electrodes (ValleyLab) or five to ten individual hook-shaped electrode arms or tines (RITA Medical, Boston Scientific). Some of the newer probes have a cooled-tip system utilizing circulating saline (ValleyLab, Berchtold), or local saline infusion (RTA Medical). A-1 A-2 A-3
3 Radiofrequency Ablation of Liver Tumors 411 Procedures Open Technique STEP 1 Access and assessment of tumors Incision, evaluation, palpation and mobilization of the liver are performed as for a liver resection. The abdomen is explored for the presence of extrahepatic disease and the evaluation is completed by intraoperative ultrasound (IOUS) to identify/confirm the location and the size of the lesions (A). The feasibility of the ablation is determined and the number of needed ablations is calculated. STEP 2 Placement of the probe and ablation of tumors The probe is aligned so that its trajectory lies in the plane of the ultrasound image and does not intersect vital structures such as blood vessels and bile ducts. It is advanced under image guidance until the tip is either close to the proximal edge of the tumor or near the distal edge, depending on the probe type (B-1). The deployed probe is visualized in perpendicular view to confirm adequate tip position and deployment (A). The probe tines are deployed and radiofrequency energy is applied according to the manufacturer s directions (B-2, B-3).
4 412 SECTION 3 Liver STEP 3 Ablation of large or irregularly shaped lesions and tract ablation For large or irregularly shaped lesions, multiple ablations may be needed (Step 2 is repeated as necessary). A pattern of overlapping spheres or cylinders is used to cover the lesion while maintaining adequate margins. With some devices, tract ablation is performed to cauterize the tract and to minimize seeding. The probe is withdrawn 1cm at a time in tract ablation mode on the radiofrequency generator, allowing temperature to reach >70 C at each step. This is continued until the probe is completely removed.
5 Radiofrequency Ablation of Liver Tumors 413 Laparoscopic Approach STEP 1 Positioning of the patient and access Depending on the location of the tumor(s), the patient is placed in the supine or left lateral decubitus position. A minimum of two laparoscopic trocars are placed: a 12-mm periumbilical camera port and a 12-mm laparoscopic ultrasound port in the right flank. The radiofrequency probe can be placed percutaneously, through a sheath, or through a 5-mm right subcostal port. More ports may be required if additional procedures are to be performed (e.g., liver mobilization, partial resection) (A-1). A-1
6 414 SECTION 3 Liver STEP 2 Assessment of tumors and ablation Laparoscopic intra-abdominal ultrasound (IOUS) is performed by either rigid or flexible IOUS probes to identify/confirm the location and the size of the lesions. The abdomen is explored for the presence of extrahepatic disease. As described for the open technique, the RFA probe is oriented parallel with the IOUS crystal to facilitate probe guidance (A-2). Limited mobility can make this more difficult than with the open technique. The ablation process and monitoring is otherwise performed as described with the open approach.
7 Radiofrequency Ablation of Liver Tumors 415 Postoperative Testing Follow-up postablation imaging (CT or MRI) is performed 3 7days after procedure to assess completeness of ablation. Postoperative Complications Short term: Pleural effusion Regional hemorrhage into needle track or into RFA lesion Fever Hepatic abscess (more common with enterobiliary anastomosis) Biliary stricture secondary to ablation near major bile duct Grounding pad burns Long term: Biloma Biliary fistula Ascites Hepatic insufficiency Arteriovenous fistula Tricks of the Senior Surgeon When the lesion lies near a major blood vessel, thermal energy from the probe may be drawn away from the ablation zone, limiting ablation efficacy. This is known as the heat-sink effect. This can be limited using in-flow occlusion techniques (e.g., Pringle maneuver) or repositioning the array closer to the vascular structure. Stabilization of the radiofrequency probe at the skin or liver surface should be done during deployment to avoid push back. Depending on the device, monitoring of the impedance pattern and tine deployment shape by ultrasound can confirm success of the ablation in real time. With some devices, temperature profiles can also be helpful at confirming successful ablation, including consistent tine temperatures and adequately slow cool-down temperatures.
General summary GENERAL SUMMARY
General summary GENERAL SUMMARY In Chapter 2.1 the long-term results and prognostic factors of radiofrequency ablation (RFA) for unresectable colorectal liver metastases (CRLM) in a single center with
More informationTherapeutic Value of Radiofrequency Ablation of Hepatic Malignant Tumors
Therapeutic Value of Radiofrequency Ablation of Hepatic Malignant Tumors Student: Shazia Hussain, V-01 Supervisor: Trond Buanes (Ullevål universitetssykehus) Universitetet i Oslo Det medisinske fakultet
More informationRF Ablation: indication, technique and imaging follow-up
RF Ablation: indication, technique and imaging follow-up Trongtum Tongdee, M.D. Radiology Department, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand Objective Basic knowledge
More informationLaparoscopic Ultrasound Guided versus Percutaneous Radiofrequency Ablation in Treatment of Unresectable Hepatocellular Carcinoma
Laparoscopic Ultrasound Guided World Journal of versus Laparoscopic Percutaneous Surgery, Radiofrequency September-December Ablation in 2008;1(3):1-12 Treatment of Unresectable HCC Laparoscopic Ultrasound
More informationManagement of Colorectal Liver Metastases
Management of Colorectal Liver Metastases MM Bernon, JEJ Krige HPB Surgical Unit, Groote Schuur Hospital Department of Surgery, University of Cape Town 50% of patients with colorectal cancer develop liver
More informationPercutaneous Ultrasound-guided Radiofrequency Ablation of Colorectal Liver Metastases
Chin J Radiol 2005; 30: 153-158 153 Percutaneous Ultrasound-guided Radiofrequency Ablation of Colorectal Liver Metastases YI-YOU CHIOU YI-HONG CHOU JEN-HUEY CHIANG HSIN-KAI WANG CHENG-YEN CHANG Department
More informationEvaluation of mulitprobe radiofrequency technology in a porcine model
HPB, 2007; 9: 363367 ORIGINAL ARTICLE Evaluation of mulitprobe radiofrequency technology in a porcine model WILLIAM W. HOPE 1, JASON M. ARRU 1, JASON Q. MCKEE 2, DENNIS VROCHIDES 2, BASSAM ASWAD 2, CAROLINE
More informationMahrad Paymani, MD Lake Medical Imaging
Mahrad Paymani, MD Lake Medical Imaging Background: My name is Mahrad Paymani. I am an Interventional and General Radiologist. I attended four years of college (at UNC Greensboro), four years of medical
More informationRFA of Tumors of the Lung: How and Why. Radiofrequency Ablation. Radiofrequency Ablation. RFA of pulmonary metastases. Radiofrequency Ablation of Lung
RFA of Tumors of the Lung: How and Why Radiofrequency Ablation of Lung Ernest Scalzetti MD SUNY Upstate Medical University Syracuse NY FDA WARNING: Off-label use of a medical device Radiofrequency Ablation
More informationCurrent Treatment of Colorectal Metastases. Dr. Thavanathan Surgical Grand Rounds February 1, 2005
Current Treatment of Colorectal Metastases Dr. Thavanathan Surgical Grand Rounds February 1, 2005 25% will have metastases at initial presentation 25-50% 50% will develop metastases later 40% of potentially
More informationThe Future is Evident. Introducing the Evident TM Microwave Ablation System
The Future is Evident Introducing the Evident TM Microwave Ablation System As the world leader in energy-based therapies and surgical solutions for more than 40 years, we provide innovative technologies
More informationInterventional Radiology in Liver Cancer. Nakarin Inmutto MD
Interventional Radiology in Liver Cancer Nakarin Inmutto MD Liver cancer Primary liver cancer Hepatocellular carcinoma Cholangiocarcinoma Metastasis Interventional Radiologist Diagnosis Imaging US / CT
More informationLocoregional Therapy for Hepatoma
Locoregional Therapy for Hepatoma Robert D. Crane, MD Interventional Radiology Virginia Mason How do we know a liver mass is HCC? HCC : Bx Of pts getting liver transplant only ~ 5% had Bx to establish
More informationCorporate Medical Policy
Corporate Medical Policy Cryosurgical Ablation of Primary or Metastatic Liver Tumors File Name: Origination: Last CAP Review: Next CAP Review: Last Review: cryosurgical_ablation_of_primary_or_metastatic_liver_tumors
More informationHEPATIC METASTASES. We can state 3 types of metastases depending on their treatment options:
HEPATIC METASTASES 1. Definition Metastasis means the spread of cancer. Cancerous cells can separate from the primary tumor and enter the bloodstream or the lymphatic system (the one that produces, stores,
More informationManagement of Liver Metastasis from Colorectal Carcinoma. Aisha White, M.D. SUNY Downstate Division of Transplantation
Management of Liver Metastasis from Colorectal Carcinoma Aisha White, M.D. SUNY Downstate Division of Transplantation Management of Colorectal Liver Metastasis Epidemiology 25% of patients diagnosed
More informationCoATherm. AK Series. APRO KOREA Inc. Radio Frequency Thermal Ablation System
CoATherm Radio Frequency Thermal Ablation System MINIMAL INVASIVE SURGERY FOR TUMORS AK Series APRO KOREA Inc. Ⅰ. RFA Ⅰ RFA Minimal Invasive Surgery? g y Alternating current through the tissue creates
More informationRADIOFREQUENCY ABLATION
RADIOFREQUENCY ABLATION ELIZABETH DAVID M D FRCPC VASCULAR A ND INTERVENTIONAL RADIOLOGIST SUNNYBROOK HEALTH SCIENCES CENTRE GIST GASTROINTESTINAL STROMAL TUMORS Stromal or mesenchymal neoplasms affecting
More informationONCOLOGIC PERCUTANEOUS INTERVENTION: 2015 UPDATE HANH VU NGHIEM, MD OAKLAND UNIVERSITY WILLIAM BEAUMONT SCHOOL OF MEDICINE
ONCOLOGIC PERCUTANEOUS INTERVENTION: 2015 UPDATE HANH VU NGHIEM, MD OAKLAND UNIVERSITY WILLIAM BEAUMONT SCHOOL OF MEDICINE ONCOLOGIC PERCUTANEOUS IMAGE GUIDED TUMOR ABLATION Evolving, growing and increasingly
More informationLiver Tumors. Patient Education. Treatment options 8 4A. About the Liver. Surgical Specialties
Patient Education Treatment options This handout describes different kinds of tumors that form in the liver and how they are treated. About the Liver Your liver is the largest organ in your abdomen. It
More informationImaging Guided Biopsy. Edited & Presented by ; Hussien A.B ALI DINAR. Msc Lecturer,Reporting Sonographer
Imaging Guided Biopsy Edited & Presented by ; Hussien A.B ALI DINAR. Msc Lecturer,Reporting Sonographer Objective By the End of this lessons you should : Define what biopsy Justify Aim to perform biopsy
More informationHow I do it: percutaneous radiofrequency ablation (RFA) Igor Sorokin, MD 1 Murthy Chamarthy, MD, 2 Jeffrey A. Cadeddu, MD 1,2 1
HOW I DO IT How I do it: percutaneous radiofrequency ablation (RFA) Igor Sorokin, MD 1 Murthy Chamarthy, MD, 2 Jeffrey A. Cadeddu, MD 1,2 1 Department of Urology, UT Southwestern Medical Center, Dallas,
More informationLocoregional Treatments for HCC Applications in Transplant Candidates. Locoregional Treatments for HCC Applications in Transplant Candidates
Locoregional Treatments for HCC Applications in Transplant Candidates Matthew Casey, MD March 31, 2016 Locoregional Treatments for HCC Applications in Transplant Candidates *No disclosures *Off-label uses
More informationStaging & Current treatment of HCC
Staging & Current treatment of HCC Dr.: Adel El Badrawy Badrawy; ; M.D. Staging & Current ttt of HCC Early stage HCC is typically silent. HCC is often advanced at first manifestation. The selective ttt
More informationPaolo Giorgio Arcidiacono MD FASGE
LOCAL ABLATIVE TREATMENT OF PANCREATIC SOLID LESIONS. WHERE ARE WE NOW? Paolo Giorgio Arcidiacono MD FASGE Pancreato-Biliary Endoscopy & Endosonography Division Pancreas Translational & Clinical Research
More informationUS-Guided Radiofrequency Ablation of Hepatic Focal Lesions
US-Guided Radiofrequency Ablation of Hepatic Focal Lesions Poster No.: C-2219 Congress: ECR 2011 Type: Scientific Exhibit Authors: D. Armario Bel, A. PLA, F. TERREL, X. Serres; BARCELONA/ES Keywords: Neoplasia,
More informationLUS: Laparoscopic Ultrasound
LUS: Laparoscopic Ultrasound Dr. Bjørn Skjoldbye Herlev Hospital Copenhagen University Training Course for Advanced Oncologic Laparoscopy St. Petersburg - February 14, 2006 Equipment Laparoscopy LUS (B&K
More informationEffect of Electromagnetic Navigation on CT-Guided Percutaneous Thermal Ablation or Biopsy of Lung Tumors
Effect of Electromagnetic Navigation on CT-Guided Percutaneous Thermal Ablation or Biopsy of Lung Tumors Chaitan K. Narsule 1, Avneesh Gupta 2, Michael I. Ebright 1, Ricardo Sales dos Santos 3, Roberto
More informationIntraoperative staging of GIT cancer using Intraoperative Ultrasound
Intraoperative staging of GIT cancer using Intraoperative Ultrasound Thesis For Fulfillment of MSc Degree In Surgical Oncology By Abdelhalim Salah Abdelhalim Moursi M.B.B.Ch (Cairo University ) Supervisors
More informationAdvances of Thermal Ablation. Dr Chandan J Das. MD,DNB, MNAMS Associate Professor of Radiology, All India Institute of Medical Sciences, New-Delhi.
Advances of Thermal Ablation Dr Chandan J Das. MD,DNB, MNAMS Associate Professor of Radiology, All India Institute of Medical Sciences, New-Delhi. Nothing to disclose Disclaimer Goals of Minimally Invasive
More informationCase Report Multimodality Fusion with MRI, CT, and Ultrasound Contrast for Ablation of Renal Cell Carcinoma
Hindawi Publishing Corporation Case Reports in Urology Volume 2012, Article ID 390912, 5 pages doi:10.1155/2012/390912 Case Report Multimodality Fusion with MRI, CT, and Ultrasound Contrast for Ablation
More informationTrattamento chirurgico delle lesioni epatiche secondarie difficili. Adelmo Antonucci Chirurgia Oncologica e Epato-bilio-pancreatica
Trattamento chirurgico delle lesioni epatiche secondarie difficili Adelmo Antonucci Chirurgia Oncologica e Epato-bilio-pancreatica What does it mean difficult lesions? Diagnosis Treatment Small size Unfit
More informationCholangiocarcinoma (Bile Duct Cancer)
Cholangiocarcinoma (Bile Duct Cancer) The Bile Duct System (Biliary Tract) A network of bile ducts (tubes) connects the liver and the gallbladder to the small intestine. This network begins in the liver
More informationEvolution of Surgery: Role of the Surgeon in the Molecular and Technology Age. Yuman Fong, MD Memorial Sloan-Kettering Cancer Center Rio 2010
Evolution of Surgery: Role of the Surgeon in the Molecular and Technology Age Yuman Fong, MD Memorial Sloan-Kettering Cancer Center Rio 2010 Molecular mechanisms for cancer Prevention and screening Molecular
More informationOSTEOCOOL ] PRODUCT PORTFOLIO
OSTEOCOOL ] PRODUCT PORTFOLIO REGIONAL ONCOLOGY LEADERS PMD016967-2.0 OBJECTIVES Discuss the current indications and contraindications for the OsteoCool RF Ablation System Describe the product portfolio
More informationCELON POWER SYSTEM FOR TUMOR ABLATION Bipolar and Multipolar RFA
1 CELON POWER SYSTEM FOR TUMOR ABLATION Bipolar and Multipolar RFA SAFE, EFFECTIVE AND UNIQUE Bipolar and multipolar radiofrequency ablation (RFA) with the CELON Power System allows an effective treatment
More informationRadiofrequency Ablation versus Microwave Ablation in HCC and Liver Metastases
Radiofrequency Ablation versus Microwave Ablation in HCC and Liver Metastases Thomas J. Vogl, B. Panahi, N. Nour-Eldin I D I R: Institute of Diagnostic and Interventional Radiology Goethe University Frankfurt,
More informationHepatocellular Carcinoma: Diagnosis and Management
Hepatocellular Carcinoma: Diagnosis and Management Nizar A. Mukhtar, MD Co-director, SMC Liver Tumor Board April 30, 2016 1 Objectives Review screening/surveillance guidelines Discuss diagnostic algorithm
More informationRADIOFREQUENCY ABLATION OF PRIMARY OR METASTATIC LIVER TUMORS
Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. Coverage for services, procedures, medical devices and drugs are dependent upon
More information6 th August 2018 Day 1 - Gallbladder & Bile duct Topic
Venue: Sterling Hospital Auditorium, Sterling Hospitals, Gurukul Road Ahmedabad, Gujarat 6 th August 2018 Day 1 - Gallbladder & Bile duct Registration(8:00am-8:15am) Inauguration(8:15am-8:30am) Welcome
More informationRadiofrequency Ablation (RFA) / Microwave Ablation (MWA) of Liver Tumors
Scan for mobile link. Radiofrequency Ablation (RFA) / Microwave Ablation (MWA) of Liver Tumors Radiofrequency ablation (RFA) and microwave ablation (MWA) are treatments that use image guidance to place
More informationLiverGroup.org. Case Report Form (CRF) for STAGED procedures
Case Report Form (CRF) for STAGED procedures Patient Characteristics Case number * Age * ( 18)y Gender * Male Female Race * Caucasian Asian African Other If other race, please specify Height * cm Weight
More informationReview Article Endoscopic Ultrasound-Guided Radiofrequency Ablation of the Pancreatic Tumors: A Promising Tool in Management of Pancreatic Tumors
Hindawi Publishing Corporation Canadian Journal of Gastroenterology and Hepatology Volume 2016, Article ID 4189358, 5 pages http://dx.doi.org/10.1155/2016/4189358 Review Article Endoscopic Ultrasound-Guided
More informationLIVER DIRECTED THERAPIES FOR PATIENTS WITH UNRESECTABLE METASTASES
LIVER DIRECTED THERAPIES FOR PATIENTS WITH UNRESECTABLE COLORECTAL CANCER LIVER METASTASES Jaime R. Merchan, MD, MMSc Associate Professor of Medicine Division of Hematology-Oncology University of Miami
More informationMicrowave ablation of liver metastases to overcome radiofrequency ablation limits
Microwave ablation of liver metastases to overcome radiofrequency ablation limits Poster No.: C-2456 Congress: ECR 2012 Type: Scientific Exhibit Authors: G. Carrafiello 1, A. M. Ierardi 1, V. Molinelli
More informationPercutaneous Radiofrequency Ablation of Lung Malignant Tumours: Survival, disease progression and complication rates
Percutaneous Radiofrequency Ablation of Lung Malignant Tumours: Survival, disease progression and complication rates Poster No.: C-2576 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Exhibit
More informationThe Egyptian Journal of Hospital Medicine (July 2014) Vol. 56, Page
The Egyptian Journal of Hospital Medicine (July 2014) Vol. 56, Page 289-299 Role of Percutaneous Microwave Ablation in Treatment of Hepatocellular Carcinoma Ahmed Tharwat Sayed, MSc *, Sahar M El Fiky,
More information3/28/2012. Periampullary Tumors. Postgraduate Course in General Surgery CASE 1: CASE 1: Overview. Eric K. Nakakura Ko Olina, HI
Overview Postgraduate Course in General Surgery Case presentation Differential diagnosis Diagnosis and therapy Outcomes Principles of palliative care Eric K. Nakakura Ko Olina, HI March 27, 2012 CASE 1:
More informationComplications of percutaneous lung radiofrequency ablation
Complications of percutaneous lung radiofrequency ablation Poster No.: C-556 Congress: ECR 2009 Type: Educational Exhibit Topic: Interventional Radiology Authors: A. Afaq, S. Khan, U. Patel, E. Leen; London/UK
More informationHepato-Pancreatico-Biliary Surgery. Dr. Ankur J. Shah. MS, DNB, MNAMS, MRCSEd (UK), FRCS (UK)
Hepato-Pancreatico-Biliary Surgery Dr. Ankur J. Shah MS, DNB, MNAMS, MRCSEd (UK), FRCS (UK) Consultant Hepato-Pancreatico-Biliary and Liver Transplant Surgeon Ansh Liver Clinic Prevention to Cure Address
More informationUse of Irreversible Electroporation in Unresectable Pancreatic Cancer. Robert C. G. Martin, II, MD, PhD, FACS
Use of Irreversible Electroporation in Unresectable Pancreatic Cancer Robert C. G. Martin, II, MD, PhD, FACS University of Louisville Division of Surgical Oncology, James Graham Brown Cancer Center, Department
More informationis time consuming and expensive. An intra-operative assessment is not going to be helpful if there is no more tissue that can be taken to improve the
My name is Barry Feig. I am a Professor of Surgical Oncology at The University of Texas MD Anderson Cancer Center in Houston, Texas. I am going to talk to you today about the role for surgery in the treatment
More informationLiver Cancer (Hepatocellular Carcinoma or HCC) Overview
Liver Cancer (Hepatocellular Carcinoma or HCC) Overview Recent advances in liver cancer care seek to address the rising incidence of liver cancer, which has steadily increased over the past three decades.
More informationImage Guidance Improves Localization of Sonographically Occult Colorectal Liver Metastases
Image Guidance Improves Localization of Sonographically Occult Colorectal Liver Metastases Universe Leung a, Amber L. Simpson a,b, Lauryn B. Adams a, William R. Jarnagin a, Michael I. Miga b, and T. Peter
More information5/17/2013. Pancreatic Cancer. Postgraduate Course in General Surgery CASE 1: CASE 1: Overview. Case presentation. Differential diagnosis
Overview Case presentation Postgraduate Course in General Surgery Differential diagnosis Diagnosis and therapy Eric K. Nakakura Koloa, HI March 26, 2013 Outcomes CASE 1: CASE 1: A 78-year-old man developed
More informationYoung-sun Kim, MD Hyunchul Rhim, MD Dongil Choi, MD Hyo K. Lim, MD
Does Artificial Ascites Induce the Heat-Sink Phenomenon during Percutaneous Radiofrequency Ablation of the Hepatic Subcapsular Area?: an in vivo Experimental Study Using a Rabbit Model Young-sun Kim, MD
More informationHorizon Scanning in Surgery: Application to Surgical Education and Practice
Horizon Scanning in Surgery: Application to Surgical Education and Practice Microwave ablation for lung cancer November 2010 Division of Education Prepared by the Australian Safety and Efficacy Register
More informationRadiofrequency Ablation (RFA) / Microwave Ablation (MWA) of Lung Tumors
Scan for mobile link. Radiofrequency Ablation (RFA) / Microwave Ablation (MWA) of Lung Tumors Radiofrequency ablation (RFA) and microwave ablation (MWA) are treatments that use image guidance to place
More informationRadiofrequency ablation of lung tumors using a multitined expandable. electrode: impact of the electrode's array diameter on local tumor
1 Radiofrequency ablation of lung tumors using a multitined expandable electrode: impact of the electrode's array diameter on local tumor progression ABSTRACT Purpose: To retrospectively investigate the
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Adenocarcinoma, pancreatic ductal, laparoscopic distal pancreatectomy for, 61 Adrenal cortical carcinoma, laparoscopic adrenalectomy for, 114
More informationCRYOABLATION OF SOLID TUMORS
Status Active Medical and Behavioral Health Policy Section: Surgery Policy Number: IV-05 Effective Date: 06/16/2014 Blue Cross and Blue Shield of Minnesota medical policies do not imply that members should
More informationPatient Selection for Ablative Therapies. Adrian D Joyce Leeds UK
Patient Selection for Ablative Adrian D Joyce Leeds UK Therapy Renal Cell Ca USA: 30,000 new cases annually >12,000 deaths RCC accounts for 3% of all adult malignancy 40% of patients will die from their
More informationSurgical Approach for Radiofrequency Ablation of Liver Tumors
4 The Surgical Approach for Radiofrequency Ablation of Liver Tumors Guido Schumacher, Robert Eisele, Antonino Spinelli, Peter Neuhaus Recent Results in Cancer Research, Vol. 167 Springer-Verlag Berlin
More informationSystem. Humeral Nail. Surgical Technique
System Humeral Nail Surgical Technique Contents IMPLANT FEATURES 2 1. INDICATIONS 3 2. PRE-OPERATIVE PLANNING 3 3. PATIENT POSITIONING & FRACTURE REDUCTION 3 4. INCISION 4 5. ENTRY POINT 4-6 6. PROXIMAL
More informationTECHNIQUE SPOTLIGHT. Radiofrequency Ablation: Current Status RFA TECHNOLOGY
TECHNIQUE SPOTLIGHT G. Narayanan, MD Associate Professor, Interventional Radiology, University of Miami Miller School of Medicine A. Echenique, MD Associate Professor, Interventional Radiology, University
More informationState-of-the-art minimally invasive interventions for liver tumors
William Lo, HMS MD/PhD candidate, MS III Gillian Lieberman, MD State-of-the-art minimally invasive interventions for liver tumors William Lo, HMS MD/PhD candidate, MS III Gillian Lieberman, MD
More information3. PATIENT POSITIONING & FRACTURE REDUCTION 3 8. DISTAL GUIDED LOCKING FOR PROXIMAL NAIL PROXIMAL LOCKING FOR LONG NAIL 13
Contents IMPLANT FEATURES 2 1. INDICATIONS 3 2. PRE-OPERATIVE PLANNING 3 3. PATIENT POSITIONING & FRACTURE REDUCTION 3 4. INCISION 4 5. ENTRY POINT 4-6 6. PROXIMAL NAIL INSERTION 6-7 7. PROXIMAL LOCKING
More informationCase Studies of Laser Ablation for Liver Tumors
Case Studies of Laser Ablation for Liver Tumors Dr Giovan Giuseppe Di Costanzo, Head Physician, Department of Liver Pathophysiology - Cardarelli Hospital, Naples Case 1: HCC near vascular structures A
More informationperformed to help sway the clinician in what the appropriate diagnosis is, which can substantially alter the treatment of management.
Hello, I am Maura Polansky at the University of Texas MD Anderson Cancer Center. I am a Physician Assistant in the Department of Gastrointestinal Medical Oncology and the Program Director for Physician
More informationPercutaneous ablation: indications, techniques and results
Percutaneous ablation: indications, techniques and results Giovan Giuseppe Di Costanzo Dipartimento dei Trapianti UOSC Epatologia AORN A Cardarelli - Napoli Treatment algorithm EASL, EORTC guidelines HCC
More informationThe role of ultrasound duplex in endovenous procedures
The role of ultrasound duplex in endovenous procedures Neophytos A. Zambas MD, PhD Vascular Surgeon Polyclinic Ygia, Limassol, Cyprus ΚΕΑΕΧ ΚΥΠΡΙΑΚΗ ΕΤΑΙΡΕΙΑ ΑΓΓΕΙΑΚΗΣ ΚΑΙ ΕΝΔΑΓΓΕΙΑΚΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ Pre
More informationGeneral Surgery Curriculum Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons
General Surgery Curriculum Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons MODULE TITLE: UPPER GI & HPB - HEPATIC, PANCREATIC & BILIARY
More informationRadiofrequency ablation in liver tumours
Annals of Oncology 15 (Supplement 4): iv313 iv317, 2004 doi:10.1093/annonc/mdh945 Radiofrequency ablation in liver tumours S. Benoist & B. Nordlinger Department of Digestive and Oncologic Surgery, Ambroise
More informationDr Adam Bartlett. General Surgeon Senior Lecturer University of Auckland Auckland City Hospital
Dr Adam Bartlett General Surgeon Senior Lecturer University of Auckland Auckland City Hospital 11:05-11:15 Hepatic Metastectomy is Associated with Improved Survival Where is everyone? Hepatic Metastectomy
More informationRadiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer
Radiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer Poster No.: C-0654 Congress: ECR 2011 Type: Scientific Paper Authors:
More informationIntroduction of Endoscopic Ultrasonography (EUS)
Introduction of Endoscopic Ultrasonography (EUS) Dr. Yuk Tong LEE MBChB, MD(CUHK), FRCP (Edin), FRCP(Lond), FHKCP, FHKAM Specialist in Gastroenterology and Hepatology Endoscopic Ultrasonography (EUS) ª
More informationJose Ramos. Role of Surgery in isolated hepatic metastasis from breast carcinoma, melanoma or sarcoma
Role of Surgery in isolated hepatic metastasis from breast carcinoma, melanoma or sarcoma Jose Ramos University of the Witwatersrand Donald Gordon Medical Centre Evolution of liver resection Better understanding
More informationInformation and support
Treatment for liver cancer Last reviewed May 2012 Contents Surgery Tumour ablation Chemotherapy Transarterial chemoembolisation (TACE) Radiotherapy Other treatments Alcohol injection Cryotherapy Endoscopic
More informationLIVER. Question 1 ~ Anatomy. Answer 1 ~ Anatomy 1/5/2018. SEMCME Board Review January 11-12, 2017
SEMCME Board Review January 11-12, 2017 Surgical Treatment of Hepatobiliary and Splenic Disorders Michael J. Jacobs, MD, FACS, FICS Clinical Professor of Surgery- MSU CHM Associate Chair of Surgery Director
More informationSurgical Treatment of Hepatobiliary and Splenic Disorders
SEMCME Board Review January 10-11, 2019 Surgical Treatment of Hepatobiliary and Splenic Disorders Michael J. Jacobs, MD, FACS, FICS Clinical Professor of Surgery- MSU CHM Associate Chair of Surgery Director
More informationNeedle Placement Robots
Needle Placement Robots Gabor Fichtinger, Ph.D. Director of Engineering, Assistant Research Professor of CompSci & Radiology Engineering Research Center (ERC) for Computer Integrated Surgical Systems and
More informationRFA for Liver Tumors: Does It Really Work? Heather Higgins, David L. Berger
Hepatobiliary RFA for Liver Tumors: Does It Really Work? Heather Higgins, David L. Berger Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA Key Words. Radiofrequency ablation
More informationLiver Cancer And Tumours
Liver Cancer And Tumours What causes liver cancer? Many factors may play a role in the development of cancer. Because the liver filters blood from all parts of the body, cancer cells from elsewhere can
More informationCoding Companion for Oncology/Hematology. A comprehensive illustrated guide to coding and reimbursement
Coding Companion for Oncology/Hematology A comprehensive illustrated guide to coding and reimbursement 2014 Contents Getting Started with Coding Companion...i General/Integumentary...1 Musculoskeletal...36
More informationMANAGEMENT OF COLORECTAL METASTASES. Robert Warren, MD. The Postgraduate Course in General Surgery March 22, /22/2011
MANAGEMENT OF COLORECTAL METASTASES Robert Warren, MD The Postgraduate Course in General Surgery March 22, 2011 Local Systemic LIVER TUMORS:THERAPEUTIC OPTIONS Hepatoma Cholangio. Neuroendo. Colorectal
More informationBiomedical Research 2015; 26 (3): ISSN X
Biomedical Research 2015; 26 (3): 485-492 ISSN 0970-938X www.biomedres.info Safety and efficacy of radiofrequency ablation with internally cooled electrode for perivascular hepatic malignancy. Liping Wang,
More informationWallFlex Biliary Metal Stents
WallFlex Biliary Metal Stents Please Note: These steps are intended to be for general guidance only. For complete instructions for use, indications, contraindications and warnings, please refer to the
More informationDEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service
M AY. 6. 2011 10:37 A M F D A - C D R H - O D E - P M O N O. 4147 P. 1 DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control
More informationLiver Tumors. Prof. Dr. Ahmed El - Samongy
Liver Tumors Prof. Dr. Ahmed El - Samongy Objective 1. Identify the most important features of common benign liver tumors 2. Know the risk factors, diagnosis, and management of hepatocellular carcinoma
More informationCPT 2018 Radiology Code Changes
CPT 2018 Radiology Code Changes CPT 2018 Radiology Code Changes The following is a listing of new Current Procedural Terminology (CPT ) codes and their descriptors as described in the CPT 2018 codebook.
More informationSurgical Management of CBD Injury Jin Seok Heo
Surgical Management of CBD Injury Jin Seok Heo Department of Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Republic of Korea Bile duct injury (BDI) Introduction Incidence
More informationThermal chondroplasty using the Smith & Nephew DYONICS GLIDER Articular Cartilage Probe
Knee Series Technique Guide Thermal chondroplasty using the Smith & Nephew DYONICS GLIDER Articular Cartilage Probe Reviewed by: Dr. James H. Lubowitz, MD Director Taos Orthopaedic Institute Taos, New
More informationDISCOVER NEW HORIZONS IN FLUID DRAINAGE. Bringing Safety and Convenience to Fluid Drainage Management
DISCOVER NEW HORIZONS IN FLUID DRAINAGE Bringing Safety and Convenience to Fluid Drainage Management DRAIN ASEPT Pleural and Peritoneal Drainage Catheter System 600mL or 1,000mL Evacuated Drainage Bottle
More informationSurgical Therapy of GEP-NET: An Overview
Surgical Therapy of GEP-NET: An Overview Pierce K.H Chow MBBS, MMed, FRCSE, FAMS, PhD Professor, Duke-NUS Graduate School of Medicine Senior Consultant Surgeon, Singapore General Hospital Visiting Senior
More informationHorizon Scanning in Surgery: Application to Surgical Education and Practice
Horizon Scanning in Surgery: Application to Surgical Education and Practice Microwave ablation for hepatic metastases December 2012 American College of Surgeons Division of Education Prepared by the Australian
More informationLiver Cancer: Diagnosis and Treatment Options
Liver Cancer: Diagnosis and Treatment Options Fred Poordad, MD Chief, Hepatology University Transplant Center Professor of Medicine UT Health, San Antonio VP, Academic and Clinical Affairs, Texas Liver
More informationGum O Jung and Dong Eun Park. Department of Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, Korea
Korean J Hepatobiliary Pancreat Surg 2012;16:110-114 Case Report Successful percutaneous management of bronchobiliary fistula after radiofrequency ablation of metastatic cholangiocarcinoma in a patient
More informationSara Schaenzer Grand Rounds January 24 th, 2018
Sara Schaenzer Grand Rounds January 24 th, 2018 Bladder Anatomy Ureter Anatomy Areas of Injury Bladder: Posterior bladder wall above trigone Ureter Crosses beneath uterine vessels At pelvic brim when ligating
More informationIndividualized laparoscopic B-ultrasound-guided microwave ablation for multifocal primary liver cancer
Original paper General surgery Videosurgery Individualized laparoscopic B-ultrasound-guided microwave ablation for multifocal primary liver cancer Zhifeng Xu, Zhangwei Yang, Jianghua Pan, Yiren Hu Department
More information