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- Title
Radiofrequency ablation for hepatocellular carcinoma abutting the diaphragm: the value of artificial ascites.
- Authors
Hyunchul Rhim; Hyo K. Lim; Rhim, Hyunchul; Lim, Hyo K
- Abstract
Ultrasound (US)-guided percutanoeus radiofrequency (RF) ablation is difficult to perform for treating a hepatic tumor abutting the diaphragm due to a poor sonic window and high risk of diaphragmatic thermal injury. RF ablation with assistance of the use of artificial ascites is a simple and safe technique for treating a hepatic dome tumor abutting the diaphragm. One can improve the sonic window and separate the RF ablation zone from the diaphragm by downward displacement of the liver with the use of a simple and inexpensive technique. Dextrose water solution is an ideal fluid due to its nonionic nature. Complications related to the use of artificial ascites including hemoperitoneum are rare. Peritoneal adhesion and tumor location in the bare area are the limitations for the application of this technique.
- Subjects
LIVER cancer; DIAPHRAGM (Anatomy); ULTRASONIC imaging; ASCITES; TISSUE adhesions
- Publication
Abdominal Imaging, 2009, Vol 34, Issue 3, p371
- ISSN
0942-8925
- Publication type
journal article
- DOI
10.1007/s00261-008-9408-4