Mortality and complication rates of percutaneous ablative techniques for the treatment of liver tumors: a systematic review

Bertot, Luis Calzadilla; Sato, Masaya; Tateishi, Ryosuke; Yoshida, Haruhiko; Koike, Kazuhiko

doi:10.1007/s00330-011-2222-3

Cited by 157 publications

(112 citation statements)

References 63 publications

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“…6,7 However, several other studies reported that RFA rarely may induce major complications and death. [3][4][5] Major complications were defined as those that delayed hospital discharge, threatened the patient's life, or led to substantial morbidity and disability. 8 In a multicenter study, reported rates of mortality and major complications of RFA for HCC were about 0.15% and 4.0%.…”

Section: Discussionmentioning

confidence: 99%

“…8 In a multicenter study, reported rates of mortality and major complications of RFA for HCC were about 0.15% and 4.0%. 3 Complications arising from RFA can be divided into two general categories: those related to imaging guided electrode placement, and those related to thermal transmission. 9 Even though the most common major complication due to thermal transmission was hepatic abscess in the multicenter study, 3 RFA may cause thermal injury to extrahepatic structures.…”

Section: Discussionmentioning

confidence: 99%

“…3 Complications arising from RFA can be divided into two general categories: those related to imaging guided electrode placement, and those related to thermal transmission. 9 Even though the most common major complication due to thermal transmission was hepatic abscess in the multicenter study, 3 RFA may cause thermal injury to extrahepatic structures. In our case, thermal damage due to RFA for HCC beneath the diaphragm seems to have had a major effect on the diaphragm; it can cause perforation of the diaphragm resulting in a hepatic abscess.…”

Section: Discussionmentioning

confidence: 99%

“…Even though RFA is considered to be a relatively safe and a low invasive treatment for HCC, some serious complications of RFA such as hepatic infarction, hepatic abscess, perforation of the gastrointestinal wall, tumor seeding, biliary-duodenal fistula and abscesso-colonic fistula have been reported. [3][4][5] Recently, we experienced a case of diaphragmatic hernia 9 months after RFA for HCC. Rarely, diaphragmatic hernia has been reported as a delayed complication of RFA for HCC.…”

Section: Introductionmentioning

confidence: 99%

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A Case of Diaphragmatic Hernia Induced by Radiofrequency Ablation for Hepatocellular Carcinoma

Kim

Myung

et al. 2013

Korean J Gastroenterol

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Because of its safety and treatment effectiveness, the popularity of radiofrequency ablation (RFA) for the treatment of hepatocellular carcinoma (HCC) has gradually increased. However, some serious complications of RFA such as hepatic infarction, bowel perforation, and tumor seeding have been reported. Recently, we experienced a case of diaphragmatic hernia after RFA for HCC. A 61-year-old man with alcoholic cirrhosis was diagnosed with a 1.0 cm sized HCC in segment (S) 5 and a 1.3 cm sized HCC in S 8 of the liver. He was treated by transarterial chemoembolization and RFA. After RFA, an abdominal CT revealed a diaphragmatic defect with herniating mesentery. Twenty-two months after the RFA, the chest CT showed the diaphragmatic defect with herniating colon and mesentery. Because he had no symptoms, and surgical repair for the diaphragmatic hernia would be a high risk operation for him, we decided to treat the patient conservatively. For its great rarity, we report this case with a review of the literature. (Korean J Gastroenterol 2013;62:174-178)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Case of Diaphragmatic Hernia Induced by Radiofrequency Ablation for Hepatocellular Carcinoma

Kim

Myung

et al. 2013

Korean J Gastroenterol

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“…Strictures are best imaged with MRCP, but CT or ultrasound can also show the segmental biliary dilatation resulting from strictures. Bile duct injury that may lead to biliary leaks, bilomas, and fi stulas is exceedingly rare, occurring in less than 0.1 % of cases (Curley et al 2004 ;Bertot et al 2011 ). Bilomas can form along S.Z.…”

Section: Abbreviationsmentioning

confidence: 99%

Female Pelvis: Genital Organs

Forstner

Cunha²

2015

Imaging of Complications and Toxicity Following Tumor Therapy

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Medical Radiology-Diagnostic Imaging is a unique series that aims to document the most innovative technologies in all fi elds within diagnostic imaging and interventional radiology, thereby informing the physician in practice of the latest advances in diagnostic imaging and percutaneous imageguided minimally invasive procedures. Th e contents are intended to cover all organs, and all modern imaging techniques and image-guided treatment modalities, with special emphasis on applications in clinical practice. Each volume is a comprehensive reference book on a topical theme, and the editors are always experts of high international standing. Contributions are included from both clinicians and researchers, ensuring wide appeal. Medical Radiology -Radiation Oncology is a unique series that aims to document the most innovative technologies in all fi elds within radiology, thereby informing the physician in practice of the latest advances in diagnostic and treatment techniques. Th e contents range from contemporary statements relating to management for various disease sites to explanations of the newest techniques for tumor identifi cation and of mechanisms for the enhancement of radiation eff ects, with the emphasis on maximizing cure and minimizing complications. Each volume is a comprehensive reference book on a topical theme, and the editors are always experts of high international standing. Contributions are included from both clinicians and researchers, ensuring wide appeal. This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. AbstractA precise knowledge of antineoplastic drugs is an indispensable basis for the care of patients with cancer. The mechanisms of action and resistance, cross-resistance patterns, pharmacodynamics and pharmacokinetics, pharmacological interaction, and last but not least potential adverse effects should be part of this knowledge. As contemporary cancer care requires interdisciplinary and multiprofessional structures, the radiologist is an important a...

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Management of Metastic Liver Cancer

Stewart,

Ho,

Fong

et al. 2024

Gastrointestinal Oncology ‐ a Critical Multidisciplinary Team Approach 2e

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Mortality and complication rates of percutaneous ablative techniques for the treatment of liver tumors: a systematic review

Abstract: Percutaneous RFA, PEI and MWA can be considered safe techniques for the treatment of liver tumours.

Cited by 157 publications

References 63 publications

A Case of Diaphragmatic Hernia Induced by Radiofrequency Ablation for Hepatocellular Carcinoma

A Case of Diaphragmatic Hernia Induced by Radiofrequency Ablation for Hepatocellular Carcinoma

Female Pelvis: Genital Organs

Management of Metastic Liver Cancer

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