Complications of radiofrequency coagulation of liver tumours
Background: Radiofrequency coagulation (RFC) is being promoted as a novel technique with a low morbidity rate in the treatment of liver tumours. The purpose of this study was to assess critically the complication rates of RFC in centres with both large and limited initial experience, and to establis...
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| Veröffentlicht in: | British journal of surgery 2002-10, Vol.89 (10), p.1206-1222 |
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| container_title | British journal of surgery |
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| creator | Mulier, S. Mulier, P. Ni, Y. Miao, Y. Dupas, B. Marchal, G. De Wever, I. Michel, L. |
| description | Background:
Radiofrequency coagulation (RFC) is being promoted as a novel technique with a low morbidity rate in the treatment of liver tumours. The purpose of this study was to assess critically the complication rates of RFC in centres with both large and limited initial experience, and to establish causes and possible means of prevention and treatment.
Methods:
This is an exhaustive review of the world literature (articles and s) up to 31 December 2001; 82 independent reports of RFC of liver tumours were analysed.
Results:
In total, 3670 patients were treated with percutaneous, laparoscopic or open RFC. The mortality rate was 0·5 per cent. Complications occurred in 8·9 per cent: abdominal bleeding in 1·6 per cent, abdominal infection in 1·1 per cent, biliary tract damage in 1·0 per cent, liver failure in 0·8 per cent, pulmonary complications in 0·8 per cent, dispersive pad skin burn in 0·6 per cent, hepatic vascular damage in 0·6 per cent, visceral damage in 0·5 per cent, cardiac complications in 0·4 per cent, myoglobinaemia or myoglobinuria in 0·2 per cent, renal failure in 0·1 per cent, tumour seeding in 0·2 per cent, coagulopathy in 0·2 per cent, and hormonal complications in 0·1 per cent. The complication rate was 7·2, 9·5, 9·9 and 31·8 per cent after a percutaneous, laparoscopic, simple open and combined open approach respectively. The mortality rate was 0·5, 0, 0 and 4·5 per cent respectively.
Conclusion:
The morbidity and mortality of RFC, while low, is higher than previously assumed. With adequate knowledge, many complications are preventable. © 2002 British Journal of Surgery Society Ltd |
| doi_str_mv | 10.1046/j.1365-2168.2002.02168.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_72120639</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>72120639</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4337-c3a9ccc8ce64eacdec0b6290b2282bf431b14e638c17bc04ff4a8f9b915e7c1a3</originalsourceid><addsrcrecordid>eNpFkF1PwjAYhRujEUT_gtmN3m2-bbduS7hRovhBNAaNl0330pnixrBlCv_eDRCu2uQ856R9CPEoBBRCcTUNKBeRz6hIAgbAAlhflwekuwsOSRcAYp9yxjvkxLkpAOUQsWPSoYylIklEl_QHVTkvDKqFqWbOq3LPqompcqu_az3DlYeV-qyLddymhfnR1lvUZVVbd0qOclU4fbY9e-T97vZtcO-PXoYPg-uRjyHnsY9cpYiYoBahVjjRCJlgKWSMJSzLQ04zGmrBE6RxhhDmeaiSPM1SGukYqeI9crnZnduqeZZbyNI41EWhZrqqnYwZZSB42oDnW7DOSj2Rc2tKZVfy_78NcLEFlENV5FbN0Lg912xAIuKG62-4X1Po1T4H2fqXU9lqlq1m2fqXa_9yKW8exyxs6_6mbtxCL3d1Zb9kMx5H8uN5KJ9ehwM-ZlyO-B8zJ4f1</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72120639</pqid></control><display><type>article</type><title>Complications of radiofrequency coagulation of liver tumours</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Oxford University Press Journals All Titles (1996-Current)</source><creator>Mulier, S. ; Mulier, P. ; Ni, Y. ; Miao, Y. ; Dupas, B. ; Marchal, G. ; De Wever, I. ; Michel, L.</creator><creatorcontrib>Mulier, S. ; Mulier, P. ; Ni, Y. ; Miao, Y. ; Dupas, B. ; Marchal, G. ; De Wever, I. ; Michel, L.</creatorcontrib><description>Background:
Radiofrequency coagulation (RFC) is being promoted as a novel technique with a low morbidity rate in the treatment of liver tumours. The purpose of this study was to assess critically the complication rates of RFC in centres with both large and limited initial experience, and to establish causes and possible means of prevention and treatment.
Methods:
This is an exhaustive review of the world literature (articles and s) up to 31 December 2001; 82 independent reports of RFC of liver tumours were analysed.
Results:
In total, 3670 patients were treated with percutaneous, laparoscopic or open RFC. The mortality rate was 0·5 per cent. Complications occurred in 8·9 per cent: abdominal bleeding in 1·6 per cent, abdominal infection in 1·1 per cent, biliary tract damage in 1·0 per cent, liver failure in 0·8 per cent, pulmonary complications in 0·8 per cent, dispersive pad skin burn in 0·6 per cent, hepatic vascular damage in 0·6 per cent, visceral damage in 0·5 per cent, cardiac complications in 0·4 per cent, myoglobinaemia or myoglobinuria in 0·2 per cent, renal failure in 0·1 per cent, tumour seeding in 0·2 per cent, coagulopathy in 0·2 per cent, and hormonal complications in 0·1 per cent. The complication rate was 7·2, 9·5, 9·9 and 31·8 per cent after a percutaneous, laparoscopic, simple open and combined open approach respectively. The mortality rate was 0·5, 0, 0 and 4·5 per cent respectively.
Conclusion:
The morbidity and mortality of RFC, while low, is higher than previously assumed. With adequate knowledge, many complications are preventable. © 2002 British Journal of Surgery Society Ltd</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1046/j.1365-2168.2002.02168.x</identifier><identifier>PMID: 12296886</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Biological and medical sciences ; Carcinoma, Hepatocellular - surgery ; Catheter Ablation - adverse effects ; Diseases of the digestive system ; Electrocoagulation - adverse effects ; Electrocoagulation - mortality ; Hepatectomy - methods ; Humans ; Laparoscopy - methods ; Liver Neoplasms - surgery ; Medical sciences ; Postoperative Complications - etiology ; Postoperative Complications - mortality ; Postoperative Complications - prevention & control ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Risk Factors</subject><ispartof>British journal of surgery, 2002-10, Vol.89 (10), p.1206-1222</ispartof><rights>2002 British Journal of Surgery Society Ltd</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4337-c3a9ccc8ce64eacdec0b6290b2282bf431b14e638c17bc04ff4a8f9b915e7c1a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-2168.2002.02168.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-2168.2002.02168.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13930867$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12296886$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mulier, S.</creatorcontrib><creatorcontrib>Mulier, P.</creatorcontrib><creatorcontrib>Ni, Y.</creatorcontrib><creatorcontrib>Miao, Y.</creatorcontrib><creatorcontrib>Dupas, B.</creatorcontrib><creatorcontrib>Marchal, G.</creatorcontrib><creatorcontrib>De Wever, I.</creatorcontrib><creatorcontrib>Michel, L.</creatorcontrib><title>Complications of radiofrequency coagulation of liver tumours</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background:
Radiofrequency coagulation (RFC) is being promoted as a novel technique with a low morbidity rate in the treatment of liver tumours. The purpose of this study was to assess critically the complication rates of RFC in centres with both large and limited initial experience, and to establish causes and possible means of prevention and treatment.
Methods:
This is an exhaustive review of the world literature (articles and s) up to 31 December 2001; 82 independent reports of RFC of liver tumours were analysed.
Results:
In total, 3670 patients were treated with percutaneous, laparoscopic or open RFC. The mortality rate was 0·5 per cent. Complications occurred in 8·9 per cent: abdominal bleeding in 1·6 per cent, abdominal infection in 1·1 per cent, biliary tract damage in 1·0 per cent, liver failure in 0·8 per cent, pulmonary complications in 0·8 per cent, dispersive pad skin burn in 0·6 per cent, hepatic vascular damage in 0·6 per cent, visceral damage in 0·5 per cent, cardiac complications in 0·4 per cent, myoglobinaemia or myoglobinuria in 0·2 per cent, renal failure in 0·1 per cent, tumour seeding in 0·2 per cent, coagulopathy in 0·2 per cent, and hormonal complications in 0·1 per cent. The complication rate was 7·2, 9·5, 9·9 and 31·8 per cent after a percutaneous, laparoscopic, simple open and combined open approach respectively. The mortality rate was 0·5, 0, 0 and 4·5 per cent respectively.
Conclusion:
The morbidity and mortality of RFC, while low, is higher than previously assumed. With adequate knowledge, many complications are preventable. © 2002 British Journal of Surgery Society Ltd</description><subject>Biological and medical sciences</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>Catheter Ablation - adverse effects</subject><subject>Diseases of the digestive system</subject><subject>Electrocoagulation - adverse effects</subject><subject>Electrocoagulation - mortality</subject><subject>Hepatectomy - methods</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Liver Neoplasms - surgery</subject><subject>Medical sciences</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - mortality</subject><subject>Postoperative Complications - prevention & control</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Risk Factors</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkF1PwjAYhRujEUT_gtmN3m2-bbduS7hRovhBNAaNl0330pnixrBlCv_eDRCu2uQ856R9CPEoBBRCcTUNKBeRz6hIAgbAAlhflwekuwsOSRcAYp9yxjvkxLkpAOUQsWPSoYylIklEl_QHVTkvDKqFqWbOq3LPqompcqu_az3DlYeV-qyLddymhfnR1lvUZVVbd0qOclU4fbY9e-T97vZtcO-PXoYPg-uRjyHnsY9cpYiYoBahVjjRCJlgKWSMJSzLQ04zGmrBE6RxhhDmeaiSPM1SGukYqeI9crnZnduqeZZbyNI41EWhZrqqnYwZZSB42oDnW7DOSj2Rc2tKZVfy_78NcLEFlENV5FbN0Lg912xAIuKG62-4X1Po1T4H2fqXU9lqlq1m2fqXa_9yKW8exyxs6_6mbtxCL3d1Zb9kMx5H8uN5KJ9ehwM-ZlyO-B8zJ4f1</recordid><startdate>200210</startdate><enddate>200210</enddate><creator>Mulier, S.</creator><creator>Mulier, P.</creator><creator>Ni, Y.</creator><creator>Miao, Y.</creator><creator>Dupas, B.</creator><creator>Marchal, G.</creator><creator>De Wever, I.</creator><creator>Michel, L.</creator><general>Blackwell Science Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200210</creationdate><title>Complications of radiofrequency coagulation of liver tumours</title><author>Mulier, S. ; Mulier, P. ; Ni, Y. ; Miao, Y. ; Dupas, B. ; Marchal, G. ; De Wever, I. ; Michel, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4337-c3a9ccc8ce64eacdec0b6290b2282bf431b14e638c17bc04ff4a8f9b915e7c1a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Biological and medical sciences</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>Catheter Ablation - adverse effects</topic><topic>Diseases of the digestive system</topic><topic>Electrocoagulation - adverse effects</topic><topic>Electrocoagulation - mortality</topic><topic>Hepatectomy - methods</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Liver Neoplasms - surgery</topic><topic>Medical sciences</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - mortality</topic><topic>Postoperative Complications - prevention & control</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mulier, S.</creatorcontrib><creatorcontrib>Mulier, P.</creatorcontrib><creatorcontrib>Ni, Y.</creatorcontrib><creatorcontrib>Miao, Y.</creatorcontrib><creatorcontrib>Dupas, B.</creatorcontrib><creatorcontrib>Marchal, G.</creatorcontrib><creatorcontrib>De Wever, I.</creatorcontrib><creatorcontrib>Michel, L.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mulier, S.</au><au>Mulier, P.</au><au>Ni, Y.</au><au>Miao, Y.</au><au>Dupas, B.</au><au>Marchal, G.</au><au>De Wever, I.</au><au>Michel, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications of radiofrequency coagulation of liver tumours</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>2002-10</date><risdate>2002</risdate><volume>89</volume><issue>10</issue><spage>1206</spage><epage>1222</epage><pages>1206-1222</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Background:
Radiofrequency coagulation (RFC) is being promoted as a novel technique with a low morbidity rate in the treatment of liver tumours. The purpose of this study was to assess critically the complication rates of RFC in centres with both large and limited initial experience, and to establish causes and possible means of prevention and treatment.
Methods:
This is an exhaustive review of the world literature (articles and s) up to 31 December 2001; 82 independent reports of RFC of liver tumours were analysed.
Results:
In total, 3670 patients were treated with percutaneous, laparoscopic or open RFC. The mortality rate was 0·5 per cent. Complications occurred in 8·9 per cent: abdominal bleeding in 1·6 per cent, abdominal infection in 1·1 per cent, biliary tract damage in 1·0 per cent, liver failure in 0·8 per cent, pulmonary complications in 0·8 per cent, dispersive pad skin burn in 0·6 per cent, hepatic vascular damage in 0·6 per cent, visceral damage in 0·5 per cent, cardiac complications in 0·4 per cent, myoglobinaemia or myoglobinuria in 0·2 per cent, renal failure in 0·1 per cent, tumour seeding in 0·2 per cent, coagulopathy in 0·2 per cent, and hormonal complications in 0·1 per cent. The complication rate was 7·2, 9·5, 9·9 and 31·8 per cent after a percutaneous, laparoscopic, simple open and combined open approach respectively. The mortality rate was 0·5, 0, 0 and 4·5 per cent respectively.
Conclusion:
The morbidity and mortality of RFC, while low, is higher than previously assumed. With adequate knowledge, many complications are preventable. © 2002 British Journal of Surgery Society Ltd</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>12296886</pmid><doi>10.1046/j.1365-2168.2002.02168.x</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of surgery, 2002-10, Vol.89 (10), p.1206-1222 |
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| source | MEDLINE; Access via Wiley Online Library; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Biological and medical sciences Carcinoma, Hepatocellular - surgery Catheter Ablation - adverse effects Diseases of the digestive system Electrocoagulation - adverse effects Electrocoagulation - mortality Hepatectomy - methods Humans Laparoscopy - methods Liver Neoplasms - surgery Medical sciences Postoperative Complications - etiology Postoperative Complications - mortality Postoperative Complications - prevention & control Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Risk Factors |
| title | Complications of radiofrequency coagulation of liver tumours |
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