Application of microwave ablation in the emergent control of intraoperative life-threatening tumor hemorrhage during hepatic surgeries

Zhou, Haoming; Wu, Junli; Ling, Wei; Zhang, Deming; Lu, Ling; Wang, Xuehao; Pu, Liyong; Kong, Lianbao

doi:10.1080/02656736.2017.1388929

Cited by 12 publications

(15 citation statements)

References 16 publications

(17 reference statements)

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“…In an animal experimental study, Song et al showed that contrast-enhanced ultrasound-guided percutaneous microwave coagulation therapy significantly decreased blood loss in a rabbit model of active liver bleeding [5] . It has been successfully used intraoperatively to control hepatic bleeding [6 , 7] . Percutaneous microwave ablation use for control of hepatic bleeding from an arterial source has also been reported [8 , 9] .…”

Section: Discussionmentioning

confidence: 99%

Percutaneous microwave ablation for control of massive portal venous bleeding

Jaffan

Huffman

Gueyikian

2020

Radiology Case Reports

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We present a case of a 46 years old female with decompensated liver cirrhosis who developed severe intraperitoneal hemorrhage secondary to inadvertent liver puncture during a paracentesis which resulted in a combined hepatic arterial and portal venous injury. The arterial injury was managed with transarterial embolization. The portal venous injury was managed with percutaneous microwave ablation. This article also highlights the importance of evaluating both arterial injury as well as portal venous injury in the setting of hepatic bleeding, particularly in patients with portal hypertension.

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Section: Discussionmentioning

confidence: 99%

Percutaneous microwave ablation for control of massive portal venous bleeding

Jaffan

Huffman

Gueyikian

2020

Radiology Case Reports

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“…Microwave ablation has been reported to be an ideal instrument to control hemorrhage due to hepatic neoplasia or during hepatic surgery because of its unique mechanism of action that results in coagulative necrosis . In case 2, MWA was thought to be a good choice for minimizing the risk of spontaneous hemorrhage, which is a common complication of hepatic hemangiosarcoma.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic access to the liver and application of laparoscopic microwave ablation in 2 dogs with liver neoplasia

et al. 2019

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Objective: To determine laparoscopic accessibility of liver lobes and access to the hilus and describe laparoscopic microwave ablation (LMWA) in 2 dogs with hepatic neoplasia. Study design: Experimental/descriptive case series. Sample population: Six canine cadavers and 2 clinical dogs. Methods: Cadavers in dorsal recumbency underwent laparoscopic assessment of the liver. A 17 gauge MWA probe was inserted to create an ablation zone at the most proximal aspect of the hilus. The distance from the center of each ablation zone to the most proximal aspect of the corresponding hilus was determined. Two dogs with hepatic neoplasia underwent LMWA. Results: All lobes of the canine liver were accessible via laparoscopy. The median (interquartile range) distances from the ablation zones to the hilus for the caudate process, left lateral, left middle, quadrate, right lateral, and right middle lobes were 2.

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“…[6][7][8] Microwave ablation is a minimally invasive therapeutic technique that has mainly been used for the treatment of active hemorrhage of the liver in cases of trauma or ruptured vascular tumors. 9,10,14 Some studies have shown that MWA is useful for controlling life-threatening hemorrhages even when active bleeding occurs in a large-diameter vessel. 9,10,15 Microwave ablation has also been used to treat hypertrophic rhinitis, allergic rhinitis, and epistaxis in China.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8] Microwave ablation (MWA) is a relatively new technique which has been used intraoperatively to achieve hemostasis at surgical margins in laparotomy. 9 Many studies have shown that MWA is safe and effective for the treatment of active hemorrhage of the liver 9 and hemorrhaging angiosarcoma, 10 minimizing intraoperative blood loss. In recent years, MWA has also been used to treat epistaxis, and it has shown a high success rate.…”

Section: Introductionmentioning

confidence: 99%

Randomized Comparative Study of Microwave Ablation and Electrocautery for Control of Recurrent Epistaxis

Lou¹,

Jin²

2019

Ear Nose Throat J

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Objective: To compare the outcomes of adult patients with recurrent epistaxis treated intraoperatively with either bipolar electrocautery or microwave ablation (MWA). Study Design: Prospective randomized control study. Materials and Methods: One hundred ten patients with idiopathic recurrent epistaxis who met the inclusion criteria were randomly assigned into MWA group and bipolar electrocautery group. Primary outcomes were the proportion of patients in each group whose bleeding had stopped within 24 hours after treatment and time to achieve successful hemostasis. Secondary outcomes were the rebleeding rate after 3 days, 1 and 12 weeks, and 6 months and complications. Results: Successful immediate arrest of epistaxis was achieved in all patients. The times to achieve successful hemostasis were 2.13 ± 1.04 minutes in the MWA group and 6.60 ± 2.68 minutes in the bipolar electrocautery group ( P = .000). The rates of recurrent bleeding were similar in patients treated with the different approaches ( P = .231). However, secondary crusting was observed endoscopically in 59 patients in the bipolar electrocautery group, while pseudomembrane of the ablation zone was seen in 19 (36.5%) patients in the MWA group. Nevertheless, there were no severe postoperative complications, including septal perforation and orbit and brain complications, in either group at the 6-month follow-up. Conclusion: Bipolar electrocautery and MWA had similar outcomes for the treatment of adult patients with recurrent epistaxis. However, MWA resulted in rapid hemostasis with less local nasal pain and less crust. Thus, MWA could be a favorable treatment option for patients with idiopathic recurrent epistaxis.

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Application of microwave ablation in the emergent control of intraoperative life-threatening tumor hemorrhage during hepatic surgeries

Abstract: MWA may be a feasible, effective and simple strategy for the emergent control of intraoperative hepatic tumour bleeding. To the best of our knowledge, this study represents the first reported cases of this novel application of MWA.

Cited by 12 publications

References 16 publications

Percutaneous microwave ablation for control of massive portal venous bleeding

Percutaneous microwave ablation for control of massive portal venous bleeding

Laparoscopic access to the liver and application of laparoscopic microwave ablation in 2 dogs with liver neoplasia

Randomized Comparative Study of Microwave Ablation and Electrocautery for Control of Recurrent Epistaxis

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