Laparoscopic Radiofrequency Ablation for Large Subcapsular Hepatic Hemangiomas: Technical and Clinical Outcomes
The aim of this study was to evaluate the technical and clinical outcomes of using laparoscopic radiofrequency (RF) ablation for treating large subcapsular hepatic hemangiomas. We retrospectively reviewed our sequential experience of treating 124 large subcapsular hepatic hemangiomas in 121 patients...
Gespeichert in:
Veröffentlicht in: | PloS one 2016-02, Vol.11 (2), p.e0149755-e0149755 |
---|---|
Hauptverfasser: | , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | e0149755 |
---|---|
container_issue | 2 |
container_start_page | e0149755 |
container_title | PloS one |
container_volume | 11 |
creator | Gao, Jun Ji, Jian-Song Ding, Xue-Mei Ke, Shan Xin, Zong-Hai Ning, Chun-Min Guo, Shi-Gang Li, Xiao-Long Dong, Yong-Hong Sun, Wen-Bing |
description | The aim of this study was to evaluate the technical and clinical outcomes of using laparoscopic radiofrequency (RF) ablation for treating large subcapsular hepatic hemangiomas.
We retrospectively reviewed our sequential experience of treating 124 large subcapsular hepatic hemangiomas in 121 patients with laparoscopic RF ablation.
The mean diameter of the 124 hemangiomas was 9.1 ± 3.2 cm (5.0-16.0 cm). RF ablation was performed successfully in all patients. There were 55 complications related to the ablation in 26 patients, including 5 of 69 (7.3%) patients with hemangioma |
doi_str_mv | 10.1371/journal.pone.0149755 |
format | Article |
fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_1950592755</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A443961508</galeid><doaj_id>oai_doaj_org_article_df2431344ccb41cca6b13dd8be5d6bcd</doaj_id><sourcerecordid>A443961508</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-a3a0366e2465fc11fe68bf24d2ce4d88fe88be4081687414ca3d078aca39ec4e3</originalsourceid><addsrcrecordid>eNqNk1Fv0zAQxyMEYmPwDRBEQkLw0BLHjpPwgFRVwCpVqrQNXq2LfWldOXFmJ4h9e1yaTQ3aA_LDOfbv_ue73EXRa5LMCc3Jp70dXAtm3tkW5wlhZZ5lT6JzUtJ0xtOEPj3Zn0UvvN8nSUYLzp9HZykvE0Joeh7ZNXTgrJe20zK-AqVt7fB2wFbexYvKQK9tG9fWxWtwW4yvh0pC5wcDLr7ELlzLYBtot9o24D_HNyh3rZZgYmhVvDT6-LEZemkb9C-jZzUYj69GexH9-Pb1Znk5W2--r5aL9UzyMu1nQCGhnGPKeFZLQmrkRVWnTKUSmSqKGouiQpYUhBc5I0wCVUleQLAlSob0Inp71O2M9WKslRekzJKsTEOpArE6EsrCXnRON-DuhAUt_h5YtxXgQnoGhQqRKaGMSVkxIiXwilClwgsyxSupgtaXMdpQNagktr0DMxGd3rR6J7b2l2A5zwpaBoEPo4Czofi-F432Eo2BFu0Q3p3zvCSclmlA3_2DPp7dSG0hJKDb2oa48iAqFozRkpMsKQI1f4QKS2GjZWisWofzicPHiUNgevzdb2HwXqyur_6f3fycsu9P2B2C6XfemuHQfX4KsiMoQ9N6h_VDkUkiDnNxXw1xmAsxzkVwe3P6gx6c7geB_gF2NAnt</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1950592755</pqid></control><display><type>article</type><title>Laparoscopic Radiofrequency Ablation for Large Subcapsular Hepatic Hemangiomas: Technical and Clinical Outcomes</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS) Journals Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Gao, Jun ; Ji, Jian-Song ; Ding, Xue-Mei ; Ke, Shan ; Xin, Zong-Hai ; Ning, Chun-Min ; Guo, Shi-Gang ; Li, Xiao-Long ; Dong, Yong-Hong ; Sun, Wen-Bing</creator><contributor>Cheung, Tan To</contributor><creatorcontrib>Gao, Jun ; Ji, Jian-Song ; Ding, Xue-Mei ; Ke, Shan ; Xin, Zong-Hai ; Ning, Chun-Min ; Guo, Shi-Gang ; Li, Xiao-Long ; Dong, Yong-Hong ; Sun, Wen-Bing ; Cheung, Tan To</creatorcontrib><description>The aim of this study was to evaluate the technical and clinical outcomes of using laparoscopic radiofrequency (RF) ablation for treating large subcapsular hepatic hemangiomas.
We retrospectively reviewed our sequential experience of treating 124 large subcapsular hepatic hemangiomas in 121 patients with laparoscopic RF ablation.
The mean diameter of the 124 hemangiomas was 9.1 ± 3.2 cm (5.0-16.0 cm). RF ablation was performed successfully in all patients. There were 55 complications related to the ablation in 26 patients, including 5 of 69 (7.3%) patients with hemangioma <10 cm and 21 of 52 (40.4%) patients with hemangiomas ≥10 cm (P < 0.001). No injuries to abdominal viscera occurred in all the 121 patients. According to the Dindo-Clavien classification, all the complications were minor in 26 patients (Grade I). Out of 124 hepatic hemangiomas, 118 (95.2%) were completely ablated, including 70 of 72 (97.2%) lesions < 10 cm and 48 of 52 (92.3%) lesions ≥ 10 cm (P = 0.236).
Laparoscopic RF ablation therapy is a safe, feasible and effective procedure for large subcapsular hepatic hemangiomas, even in the hepatic hemangiomas ≥ 10 cm. Its use avoids thermal injury to the abdominal viscera.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0149755</identifier><identifier>PMID: 26901132</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abdomen ; Ablation ; Adult ; Aged ; Biology and Life Sciences ; Care and treatment ; Catheter Ablation ; Clinical outcomes ; Complications ; Female ; Follow-Up Studies ; Hemangioma ; Hemangioma - surgery ; Hospitals ; Humans ; Injury prevention ; Laparoscopy ; Lesions ; Liver ; Liver cancer ; Liver Neoplasms - surgery ; Male ; Medical imaging ; Medicine and Health Sciences ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Patient outcomes ; Patients ; People and Places ; Quality ; Radio frequency ; Radiofrequency ablation ; Retrospective Studies ; Surgery ; Surgical outcomes ; Thermal injury ; Tomography ; Tumors ; Ultrasonic imaging ; Viscera</subject><ispartof>PloS one, 2016-02, Vol.11 (2), p.e0149755-e0149755</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Gao et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Gao et al 2016 Gao et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-a3a0366e2465fc11fe68bf24d2ce4d88fe88be4081687414ca3d078aca39ec4e3</citedby><cites>FETCH-LOGICAL-c692t-a3a0366e2465fc11fe68bf24d2ce4d88fe88be4081687414ca3d078aca39ec4e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765839/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765839/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26901132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Cheung, Tan To</contributor><creatorcontrib>Gao, Jun</creatorcontrib><creatorcontrib>Ji, Jian-Song</creatorcontrib><creatorcontrib>Ding, Xue-Mei</creatorcontrib><creatorcontrib>Ke, Shan</creatorcontrib><creatorcontrib>Xin, Zong-Hai</creatorcontrib><creatorcontrib>Ning, Chun-Min</creatorcontrib><creatorcontrib>Guo, Shi-Gang</creatorcontrib><creatorcontrib>Li, Xiao-Long</creatorcontrib><creatorcontrib>Dong, Yong-Hong</creatorcontrib><creatorcontrib>Sun, Wen-Bing</creatorcontrib><title>Laparoscopic Radiofrequency Ablation for Large Subcapsular Hepatic Hemangiomas: Technical and Clinical Outcomes</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The aim of this study was to evaluate the technical and clinical outcomes of using laparoscopic radiofrequency (RF) ablation for treating large subcapsular hepatic hemangiomas.
We retrospectively reviewed our sequential experience of treating 124 large subcapsular hepatic hemangiomas in 121 patients with laparoscopic RF ablation.
The mean diameter of the 124 hemangiomas was 9.1 ± 3.2 cm (5.0-16.0 cm). RF ablation was performed successfully in all patients. There were 55 complications related to the ablation in 26 patients, including 5 of 69 (7.3%) patients with hemangioma <10 cm and 21 of 52 (40.4%) patients with hemangiomas ≥10 cm (P < 0.001). No injuries to abdominal viscera occurred in all the 121 patients. According to the Dindo-Clavien classification, all the complications were minor in 26 patients (Grade I). Out of 124 hepatic hemangiomas, 118 (95.2%) were completely ablated, including 70 of 72 (97.2%) lesions < 10 cm and 48 of 52 (92.3%) lesions ≥ 10 cm (P = 0.236).
Laparoscopic RF ablation therapy is a safe, feasible and effective procedure for large subcapsular hepatic hemangiomas, even in the hepatic hemangiomas ≥ 10 cm. Its use avoids thermal injury to the abdominal viscera.</description><subject>Abdomen</subject><subject>Ablation</subject><subject>Adult</subject><subject>Aged</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Catheter Ablation</subject><subject>Clinical outcomes</subject><subject>Complications</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hemangioma</subject><subject>Hemangioma - surgery</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Injury prevention</subject><subject>Laparoscopy</subject><subject>Lesions</subject><subject>Liver</subject><subject>Liver cancer</subject><subject>Liver Neoplasms - surgery</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>People and Places</subject><subject>Quality</subject><subject>Radio frequency</subject><subject>Radiofrequency ablation</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Thermal injury</subject><subject>Tomography</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Viscera</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1Fv0zAQxyMEYmPwDRBEQkLw0BLHjpPwgFRVwCpVqrQNXq2LfWldOXFmJ4h9e1yaTQ3aA_LDOfbv_ue73EXRa5LMCc3Jp70dXAtm3tkW5wlhZZ5lT6JzUtJ0xtOEPj3Zn0UvvN8nSUYLzp9HZykvE0Joeh7ZNXTgrJe20zK-AqVt7fB2wFbexYvKQK9tG9fWxWtwW4yvh0pC5wcDLr7ELlzLYBtot9o24D_HNyh3rZZgYmhVvDT6-LEZemkb9C-jZzUYj69GexH9-Pb1Znk5W2--r5aL9UzyMu1nQCGhnGPKeFZLQmrkRVWnTKUSmSqKGouiQpYUhBc5I0wCVUleQLAlSob0Inp71O2M9WKslRekzJKsTEOpArE6EsrCXnRON-DuhAUt_h5YtxXgQnoGhQqRKaGMSVkxIiXwilClwgsyxSupgtaXMdpQNagktr0DMxGd3rR6J7b2l2A5zwpaBoEPo4Czofi-F432Eo2BFu0Q3p3zvCSclmlA3_2DPp7dSG0hJKDb2oa48iAqFozRkpMsKQI1f4QKS2GjZWisWofzicPHiUNgevzdb2HwXqyur_6f3fycsu9P2B2C6XfemuHQfX4KsiMoQ9N6h_VDkUkiDnNxXw1xmAsxzkVwe3P6gx6c7geB_gF2NAnt</recordid><startdate>20160222</startdate><enddate>20160222</enddate><creator>Gao, Jun</creator><creator>Ji, Jian-Song</creator><creator>Ding, Xue-Mei</creator><creator>Ke, Shan</creator><creator>Xin, Zong-Hai</creator><creator>Ning, Chun-Min</creator><creator>Guo, Shi-Gang</creator><creator>Li, Xiao-Long</creator><creator>Dong, Yong-Hong</creator><creator>Sun, Wen-Bing</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20160222</creationdate><title>Laparoscopic Radiofrequency Ablation for Large Subcapsular Hepatic Hemangiomas: Technical and Clinical Outcomes</title><author>Gao, Jun ; Ji, Jian-Song ; Ding, Xue-Mei ; Ke, Shan ; Xin, Zong-Hai ; Ning, Chun-Min ; Guo, Shi-Gang ; Li, Xiao-Long ; Dong, Yong-Hong ; Sun, Wen-Bing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-a3a0366e2465fc11fe68bf24d2ce4d88fe88be4081687414ca3d078aca39ec4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdomen</topic><topic>Ablation</topic><topic>Adult</topic><topic>Aged</topic><topic>Biology and Life Sciences</topic><topic>Care and treatment</topic><topic>Catheter Ablation</topic><topic>Clinical outcomes</topic><topic>Complications</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hemangioma</topic><topic>Hemangioma - surgery</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Injury prevention</topic><topic>Laparoscopy</topic><topic>Lesions</topic><topic>Liver</topic><topic>Liver cancer</topic><topic>Liver Neoplasms - surgery</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>People and Places</topic><topic>Quality</topic><topic>Radio frequency</topic><topic>Radiofrequency ablation</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Thermal injury</topic><topic>Tomography</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Viscera</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gao, Jun</creatorcontrib><creatorcontrib>Ji, Jian-Song</creatorcontrib><creatorcontrib>Ding, Xue-Mei</creatorcontrib><creatorcontrib>Ke, Shan</creatorcontrib><creatorcontrib>Xin, Zong-Hai</creatorcontrib><creatorcontrib>Ning, Chun-Min</creatorcontrib><creatorcontrib>Guo, Shi-Gang</creatorcontrib><creatorcontrib>Li, Xiao-Long</creatorcontrib><creatorcontrib>Dong, Yong-Hong</creatorcontrib><creatorcontrib>Sun, Wen-Bing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gao, Jun</au><au>Ji, Jian-Song</au><au>Ding, Xue-Mei</au><au>Ke, Shan</au><au>Xin, Zong-Hai</au><au>Ning, Chun-Min</au><au>Guo, Shi-Gang</au><au>Li, Xiao-Long</au><au>Dong, Yong-Hong</au><au>Sun, Wen-Bing</au><au>Cheung, Tan To</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic Radiofrequency Ablation for Large Subcapsular Hepatic Hemangiomas: Technical and Clinical Outcomes</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-02-22</date><risdate>2016</risdate><volume>11</volume><issue>2</issue><spage>e0149755</spage><epage>e0149755</epage><pages>e0149755-e0149755</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The aim of this study was to evaluate the technical and clinical outcomes of using laparoscopic radiofrequency (RF) ablation for treating large subcapsular hepatic hemangiomas.
We retrospectively reviewed our sequential experience of treating 124 large subcapsular hepatic hemangiomas in 121 patients with laparoscopic RF ablation.
The mean diameter of the 124 hemangiomas was 9.1 ± 3.2 cm (5.0-16.0 cm). RF ablation was performed successfully in all patients. There were 55 complications related to the ablation in 26 patients, including 5 of 69 (7.3%) patients with hemangioma <10 cm and 21 of 52 (40.4%) patients with hemangiomas ≥10 cm (P < 0.001). No injuries to abdominal viscera occurred in all the 121 patients. According to the Dindo-Clavien classification, all the complications were minor in 26 patients (Grade I). Out of 124 hepatic hemangiomas, 118 (95.2%) were completely ablated, including 70 of 72 (97.2%) lesions < 10 cm and 48 of 52 (92.3%) lesions ≥ 10 cm (P = 0.236).
Laparoscopic RF ablation therapy is a safe, feasible and effective procedure for large subcapsular hepatic hemangiomas, even in the hepatic hemangiomas ≥ 10 cm. Its use avoids thermal injury to the abdominal viscera.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26901132</pmid><doi>10.1371/journal.pone.0149755</doi><tpages>e0149755</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1932-6203 |
ispartof | PloS one, 2016-02, Vol.11 (2), p.e0149755-e0149755 |
issn | 1932-6203 1932-6203 |
language | eng |
recordid | cdi_plos_journals_1950592755 |
source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Abdomen Ablation Adult Aged Biology and Life Sciences Care and treatment Catheter Ablation Clinical outcomes Complications Female Follow-Up Studies Hemangioma Hemangioma - surgery Hospitals Humans Injury prevention Laparoscopy Lesions Liver Liver cancer Liver Neoplasms - surgery Male Medical imaging Medicine and Health Sciences Middle Aged NMR Nuclear magnetic resonance Patient outcomes Patients People and Places Quality Radio frequency Radiofrequency ablation Retrospective Studies Surgery Surgical outcomes Thermal injury Tomography Tumors Ultrasonic imaging Viscera |
title | Laparoscopic Radiofrequency Ablation for Large Subcapsular Hepatic Hemangiomas: Technical and Clinical Outcomes |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-18T17%3A56%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Laparoscopic%20Radiofrequency%20Ablation%20for%20Large%20Subcapsular%20Hepatic%20Hemangiomas:%20Technical%20and%20Clinical%20Outcomes&rft.jtitle=PloS%20one&rft.au=Gao,%20Jun&rft.date=2016-02-22&rft.volume=11&rft.issue=2&rft.spage=e0149755&rft.epage=e0149755&rft.pages=e0149755-e0149755&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0149755&rft_dat=%3Cgale_plos_%3EA443961508%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1950592755&rft_id=info:pmid/26901132&rft_galeid=A443961508&rft_doaj_id=oai_doaj_org_article_df2431344ccb41cca6b13dd8be5d6bcd&rfr_iscdi=true |