Percutaneous Thermal Segmentectomy: Proof of Concept

Lucatelli, Pierleone; Argirò, Renato; Crocetti, Laura; Rocco, Bianca; Bozzi, Elena; Gasparrini, Fulvio; Tanzilli, Alessandro; Catalano, Carlo; Iezzi, Roberto

doi:10.1007/s00270-022-03117-y

Cited by 17 publications

(11 citation statements)

References 23 publications

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“…Instead, fluoroscopy-guided RF performed after TACE can be a potentially curative treatment in US-invisible nodules: this is because electrode insertion can be accurately performed under fluoroscopic guidance by targeting the nodule to become radiopaque after TACE microparticles deployment [ 49 ]. In addition, the decreased blood flow to the HCC nodule may reduce the heat sink effect, increasing the ablation volume [ 50 ]. In terms of outcomes, the authors found that the combination of TACE plus RF for HCC was similar to those of standard US-guided RF.…”

Section: Discussionmentioning

confidence: 99%

Technical and Clinical Outcomes of Laparoscopic–Laparotomic Hepatocellular Carcinoma Thermal Ablation with Microwave Technology: Case Series and Review of Literature

Muglia,

Marra,

Pinelli

et al. 2023

Cancers

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Purpose: To evaluate technical and clinical outcomes of intraoperative (laparoscopic/laparotomic) microwave ablation on HCC. Materials and Methods: This is a retrospective single-center study evaluating consecutive patients treated for very early/early-stage HCC with intraoperative microwave ablation from 1 July 2017 to 30 June 2023. In these patients, a percutaneous US-guided approach was excluded due to the nodule’s suboptimal visibility or harmful location and liver resection for a deep position or adherences. Data about the clinical stage, surgical approach, liver pathology and nodules characteristics, technical success, complications, and follow-up were collected. Technical success was intended as the absence of locoregional persistence at follow-up CT/MRI controls. Results: A total of 36 cirrhotic patients (M:F = 30:6, median age 67 years) were enrolled; 18/36 (50%) had a single nodule, 13/36 (36%) had two, 4/36 had three (11%), and 1/36 had four (3%). Among the patients, 24 (67%) were treated with laparoscopy, and 12/36 (33%) with a laparotomic approach. Sixty HCCs of 16.5 mm (6–50 mm) were treated for 7 min (2–30 min) with 100 W of power. A total of 55 nodules (92%) were treated successfully and showed no residual enhancement at the first postoperative follow-up; the other 5/60 (8%) underwent chemo/radioembolization. There was one complication (3%): a biliary fistula treated with percutaneous drainage and glue embolization. The average hospital stay was 3.5 days (1–51 days), and patients were followed up on average for 238 days (13–1792 days). During follow-up, 5/36 patients (14%) underwent liver transplantation, 1/36 (2%) died during hospitalization and 1 after discharge. Conclusions: Laparoscopic/laparotomic intraoperative HCC MW ablation is feasible in patients unsuitable for percutaneous approach or hepatic resection, with rare complications and with good technical and clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Technical and Clinical Outcomes of Laparoscopic–Laparotomic Hepatocellular Carcinoma Thermal Ablation with Microwave Technology: Case Series and Review of Literature

Muglia,

Marra,

Pinelli

et al. 2023

Cancers

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“…In recent years, combined treatment with microwave antenna and Occlusafe had been proposed as an innovative technique in treatment of >3cm liver malignancies with promising results [9] .…”

Section: Discussionmentioning

confidence: 99%

Combined treatments with microballoon catheters and multiple cryoablation probes for shoulder-subclavian soft tissue hemangiopericytoma: A case report

Argirò,

Ciccarese,

Vattermoli

et al. 2023

Radiology Case Reports

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“…As a result, larger ablation zones are necessary for an effective ablation of iCCA. To achieve these larger ablation zones, either multi-apparatus or balloon-assisted ablation have been utilized [ 59 ]. Triple-antenna MWA have been shown to result in the creation of a reliable 6 cm ablation zone in the liver [ 60 ], whilst balloon assisted ablation combines use of a micro balloon catheter and balloon inflation with resultant flow redistribution followed by thermal ablation [ 59 ].…”

Section: Interventional Ablative Treatment For Iccamentioning

confidence: 99%

Role of Percutaneous Ablation in the Management of Intrahepatic Cholangiocarcinoma

et al. 2023

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Cholangiocarcinoma (CCA) is an invasive cancer accounting for <1% of all cancers and 10–15% of primary liver cancers. Intrahepatic CCA (iCCA) is associated with poor survival rates and high post-surgical recurrence rates whilst most diagnosed patients are not surgical candidates. There is a growing literature suggesting percutaneous ablative techniques for the management of patients with iCCA measuring ≤3 cm with contraindications to surgery as well as for recurrent or residual tumors aiming to provide local cancer treatment and control. Most used ablative therapies for iCCA include radiofrequency and microwave ablation with irreversible electroporation, cryoablation and reversible electroporation (electrochemotherapy) being less commonly encountered techniques. Due to the infiltrative margins of the lesion, there is a need for larger safety margins and ablation zone; multi-apparatus ablation or other variations of the technique such as balloon-assisted approaches can be utilized aiming to increase size of the zone of necrosis. The present review paper focuses upon the current role of percutaneous ablative techniques for the therapeutic management of iCCA. The purpose of this review is to present the current minimally invasive ablative techniques in the treatment of iCCA, including local control and survival rates.

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Percutaneous Thermal Segmentectomy: Proof of Concept

Cited by 17 publications

References 23 publications

Technical and Clinical Outcomes of Laparoscopic–Laparotomic Hepatocellular Carcinoma Thermal Ablation with Microwave Technology: Case Series and Review of Literature

Technical and Clinical Outcomes of Laparoscopic–Laparotomic Hepatocellular Carcinoma Thermal Ablation with Microwave Technology: Case Series and Review of Literature

Combined treatments with microballoon catheters and multiple cryoablation probes for shoulder-subclavian soft tissue hemangiopericytoma: A case report

Role of Percutaneous Ablation in the Management of Intrahepatic Cholangiocarcinoma

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