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Endoscopy 2001; 33(8): 697-702
DOI: 10.1055/s-2001-16216
Short Communication

© Georg Thieme Verlag Stuttgart · New York

Thoracoscopic Thermal Ablation Therapy for Hepatocellular Carcinoma Located Beneath the Diaphragm

T. Ishikawa 1 , T. Kohno 2 , T. Shibayama 3 , Y. Fukushima 1 , S. Obi 1 , T. Teratani 1 , S. Shiina 1 , Y. Shiratori 1 , M. Omata 1
  • 1 Dept. of Gastroenterology, Tokyo University Hospital, Tokyo, Japan
  • 2 Dept. of Thoracic Surgery, Toranomon Hospital, Tokyo, Japan
  • 3 Dept. of Internal Medicine, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan
Further Information

Publication History

Publication Date:
31 December 2001 (online)

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Background and Study Aims: Percutaneous interstitial thermal ablation therapy effectively treats hepatocellular carcinoma (HCC) that can be visualized on percutaneous ultrasonography. However, when the tumor is located just under the top of the diaphragm, visualization can be difficult with conventional ultrasonographic examination. There are also problems concerning complete tumor ablation. We performed thoracoscopic thermal ablation therapy for HCC located just beneath the diaphragm in nine patients with advanced liver cirrhosis.

Patients and Methods: Eight patients underwent thoracoscopic microwave coagulation therapy, and one patient underwent thoracoscopic radiofrequency ablation therapy.

Results: Despite the poor hepatic reserve, postoperative recovery after thoracoscopic thermal ablation therapy was rapid in all patients, without deterioration of hepatic function.

Conclusions: This preliminary study suggests that the new technique of thoracoscopic thermal ablation therapy is a less invasive optional therapy for HCC located in segments VII or VIII in cirrhotic patients.

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T. Ishikawa, M.D.

Dept. of Gastroenterology
University of Tokyo

7-3-1, Hongo, Bunkyo-ku
Tokyo, 113-8655
Japan


Fax: + 81-3-56843987

Email: takduck-tky@umin.ac.jp

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