Abstract
Almost 20 years after its clinical introduction, the appropriate utilization of liver tumor ablation remains a controversial subject. There are a number of reasons for this, but an important component of this has been the need for highly accurate ultrasonographic guidance, both for staging and probe placement. Historically surgeons, at least in the United States, have had little training in or experience with intraoperative ultrasound. This chapter discusses a general approach to thorough and accurate staging of patients with liver tumors, as well as providing tips for overcoming some of the more common technical challenges encountered during surgical ablation of liver tumors.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Livraghi T, Festi D, Monti F, Salmi A, Vettori C. US-guided percutaneous alcohol injection of small hepatic and abdominal tumors. Radiology. 1986;161(2):309–12.
Shiina S, Tateishi R, Imamura M, Teratani T, Koike Y, Sato S, Obi S, Kanai F, Kato N, Yoshida H, Omata M, Koike K. Percutaneous ethanol injection for hepatocellular carcinoma: 20-year outcome and prognostic factors. Liver Int. 2012;32(9):1434–42.
Siperstein AE, Berber E. Cryoablation, percutaneous alcohol injection, and radiofrequency ablation for treatment of neuroendocrine liver metastases. World J Surg. 2001;25(6):693–6.
Ansari D, Andersson R. Radiofrequency ablation or percutaneous ethanol injection for the treatment of liver tumors. World J Gastroenterol. 2012;18(10):1003–8.
Bala MM, Riemsma RP, Wolff R, Kleijnen J. Cryotherapy for liver metastases. Cochrane Database Syst Rev. 2013;(6):CD009058.
Mu F, Niu L, Li H, Liao M, Li L, Liu C, Chen J, Li J, Zuo J, Xu K. Percutaneous comprehensive cryoablation for metastatic hepatocellular cancer. Cryobiology. 2013;66(1):76–80.
Hong K, Georgiades C. Radiofrequency ablation: mechanism of action and devices. J Vasc Interv Radiol. 2010;21(8 Suppl):S179–86.
Brace CL. Microwave tissue ablation: biophysics, technology, and applications. Crit Rev Biomed Eng. 2010;38(1):65–78.
Veltri A, Guarnieri T, Gazzera C, Busso M, Solitro F, Fora G, Racca P. Long-term outcome of radiofrequency thermal ablation (RFA) of liver metastases from colorectal cancer (CRC): size as the leading prognostic factor for survival. Radiol Med. 2012;117(7):1139–51.
Huang J, Hernandez-Alejandro R, Croome KP, Yan L, Wu H, Chen Z, Prasoon P, Zeng Y. Radiofrequency ablation versus surgical resection for hepatocellular carcinoma in Childs A cirrhotics-a retrospective study of 1,061 cases. J Gastrointest Surg. 2011;15(2): 311–20.
Feng K, Yan J, Li X, Xia F, Ma K, Wang S, Bie P, Dong J. A randomized controlled trial of radiofrequency ablation and surgical resection in the treatment of small hepatocellular carcinoma. J Hepatol. 2012;57(4):794–802.
Berber E, Tsinberg M, Tellioglu GJ, Simpfendorfer CH, Siperstein AE. Resection versus laparoscopic radiofrequency thermal ablation of solitary colorectal liver metastasis. Gastrointest Surg. 2008;12(11):1967–72.
Khan KN, Yatsuhashi H, Yamasaki K, Yamasaki M, Inoue O, Koga M, Yano M. Prospective analysis of risk factors for early intrahepatic recurrence of hepatocellular carcinoma following ethanol injection. J Hepatol. 2000;32(2):269–78.
van Vledder MG, Pawlik TM, Munireddy S, Hamper U, de Jong MC, Choti MA. Factors determining the sensitivity of intraoperative ultrasonography in detecting colorectal liver metastases in the modern era. Ann Surg Oncol. 2010;17(10):2756–63.
Elias D, Sideris L, Pocard M, de Baere T, Dromain C, Lassau N, Lasser P. Incidence of unsuspected and treatable metastatic disease associated with operable colorectal liver metastases discovered only at laparotomy (and not treated when performing percutaneous radiofrequency ablation). Ann Surg Oncol. 2005;12(4):298–302.
Thaler K, Kanneganti S, Khajanchee Y, Wilson C, Swanstrom L, Hansen PD. The evolving role of staging laparoscopy in the treatment of colorectal hepatic metastasis. Arch Surg. 2005;140(8):727–34.
Belgihiti J, Clavien PA, Gadzijev E, et al. The Brisbane 2000 terminology of liver anatomy and resections. HPB. 2000;2:333–9.
Bismuth H. Surgical anatomy and anatomical surgery of the liver. World J Surg. 1982;6(1):3–9.
Xu LH, Cai SJ, Cai GX, Peng WJ. Imaging diagnosis of colorectal liver metastases. World J Gastroenterol. 2011;17(42):4654–9.
Park MJ, Kim TH, Lee KM, Cheong JY, Kim JK. Radiofrequency ablation of metastatic liver masses: recurrence patterns and prognostic factors based on radiologic features. Hepatogastroenterology. 2012;60(123):563–7.
Hammill CW, Billingsley KG, Cassera MA, Wolf RF, Ujiki MB, Hansen PD. Ann Surg Oncol. 2011;18(7):1947–54. doi:10.1245/s10434-010-1535-9. Epub 2011 Mar 12.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Hansen, P.D., Johnston, W.C., Hammill, C. (2014). Ultrasound Techniques for Liver Tumor Ablation. In: Hagopian, E., Machi, J. (eds) Abdominal Ultrasound for Surgeons. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9599-4_17
Download citation
DOI: https://doi.org/10.1007/978-1-4614-9599-4_17
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-9598-7
Online ISBN: 978-1-4614-9599-4
eBook Packages: MedicineMedicine (R0)