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Procedure terapeutiche

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Ecografia e procedure interventistiche percutanee

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Estratto

L’utilizzo dell’ecografia nella diagnostica pre ed intra-operatoria delle malattie epatobiliari ha assunto un ruolo sempre più importante negli ultimi anni. Anche dal punto di vista terapeutico, l’ecografia interventistica ha un ruolo di primaria importanza nel trattamento di patologie infiammatorie, infettive e neoplastiche. In particolare l’approccio percutaneo ecoguidato è particolarmente indicato nel posizionamento di drenaggi per il trattamento di patologie infettive (ascessi epatici), nel trattamento delle cisti epatiche idatidee e delle cisti epatiche semplici. Nell’ambito della patologia biliare l’approccio percutaneo ecoguidato trova la sua indicazione nel trattamento percutaneo delle colecistiti acute con l’esecuzione della colecistostomia percutanea.

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Bibliografia

  1. Smego RA Jr, Bhatti S, Khaliq A A, Beg MA (2003) Percutaneous aspiration-injection-reaspiration drainage plus albendazole or mebendazole for hepatic cystic echinococcosis: a meta-analysis. Clin Infect Dis 37(8):1073–1083

    Article  PubMed  CAS  Google Scholar 

  2. Huang CJ, Pitt HA, Lipsett PA et al (1996) Pyogenic hepatic abscess. Changing trends over 42 years. Ann Surg 223(5):600–607

    Article  PubMed  CAS  Google Scholar 

  3. Barakate MS, Stephen MS, Waugh RC (1999) Pyogenic liver abscess: a review of 10 years’ experience in management. Aust N Z J Surg 69:205–209

    Article  PubMed  CAS  Google Scholar 

  4. Mohan S, Talwar N, Chaudhary A et al (2006) Liver abscess: a clinicopathological analysis of 82 cases. Int Surg 91:228–233

    PubMed  Google Scholar 

  5. Gerzof SG, Johnson WC, Robbins AH, Nabseth DC (1985) Intrahepatic pyogenic abscesses: treatment by percutaneous drainage. Am J Surg 149:487–494

    Article  PubMed  CAS  Google Scholar 

  6. McDonald MI, Corey GR, Gallis HA, Durack DT (1984) Single and multiple pyogenic liver abscesses. Natural history, diagnosis and treatment, with emphasis on percutaneous drainage. Medicine (Baltimore) 63:291–302

    CAS  Google Scholar 

  7. Miller FJ, Ahola DT, Bretzman PA, Fillmore DJ (1997) Percutaneous management of hepatic abscess: a perspective by interventional radiologists. J Vasc Interv Radiol 8:241–217

    Article  PubMed  CAS  Google Scholar 

  8. McDonald MI, Corey GR, Gallis HA, Durack DT (1984) Single and multiple pyogenic liver abscesses. Natural history, diagnosis and treatment, with emphasis on percutaneous drainage. Medicine (Baltimore) 63:291–302

    CAS  Google Scholar 

  9. Rajak CL, Gupta S, Jain S et al (1998) Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage. AJR Am J Roentgenol 170:1035–1039

    PubMed  CAS  Google Scholar 

  10. Zerem E, Hadzic A (2007) Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess. AJR Am J Roentgenol 189:W138–142

    Article  PubMed  Google Scholar 

  11. Yu SC, Ho SS, Lau WY et al (2004) Treatment of pyogenic liver abscess: prospective randomized comparison of catheter drainage and needle aspiration. Hepatology 39:932–938

    Article  PubMed  Google Scholar 

  12. Gharbi HA, Hassine W, Brauner MW, Dupuch K (1981) Ultrasound examination of the hydatic liver. Radiology 139:459–463

    PubMed  CAS  Google Scholar 

  13. WHO Informal Working Group on Echinococcus. Puncture, aspiration, injection re-aspiration: an option for the treatmetn of cystic echinococcus. Bull WHO/CDS/CSR/APH/2001.6. http://www.who.int/emc

  14. Ben Amor N, Gargouri M, Gharbi HA (1986) Trial therapy of inoperable abdominal hydatid cysts by puncture. Ann Parasitol Hum Comp 61(6):689–692

    PubMed  CAS  Google Scholar 

  15. Akhan O, Ozmen MN, Dinçer A (1996) Liver hydatid disease: long-term results of percutaneous treatment. Radiology 198(1):259–264

    PubMed  CAS  Google Scholar 

  16. Saremi F, McNamara TO (1995) Hydatid cysts of the liver: long-term results of percutaneous treatment using a cutting instrument. AJR Am J Roentgenol 165(5): 1163–1167

    PubMed  CAS  Google Scholar 

  17. Schipper HG, Laméris JS, van Delden OM (2002) Percutaneous evacuation (PEVAC) of multi-vesicular echinococcal cysts with or without cystobiliary fistulas which contain non-drainable material: first results of a modified PAIR method. Gut 50(5):718–723

    Article  PubMed  CAS  Google Scholar 

  18. Brunetti E, Filice C (2001) Radiofrequency thermal ablation of echinococcal liver cysts. Lancet 358:1464

    Article  PubMed  CAS  Google Scholar 

  19. Kabaaliolu A, Ceken K, Alimoglu E, Apaydin A (2006) Percutaneous imaging-guided treatment of hydatid liver cysts: do long-term results make it a first choice? Eur J Radiol 59(1):65–73

    Article  Google Scholar 

  20. Larsen KA (1961) Benign lesions affecting the bile ducts in the post-mortem cholangiogram. Acta Pathol Microbiol Scand 51:47–62

    PubMed  CAS  Google Scholar 

  21. Caremani M, Vincenti A, Benci A et al (1993) Ecographic epidemiology of non-parasitic hepatic cysts. J Clin Ultrasound 21(2):115–118

    Article  PubMed  CAS  Google Scholar 

  22. Carrim ZI, Murchison JT (2003) The prevalence of simple renal and hepatic cysts detected by spiral Computed Tomography. Clin Radiol 58(8):626–629

    Article  PubMed  CAS  Google Scholar 

  23. Yang CF, Liang HL, Pan HB (2006) Single-session prolonged alcohol-retention sclerotherapy for large hepatic cysts. AJR Am J Roentgenol 187(4):940–943

    Article  PubMed  Google Scholar 

  24. Martin IJ, McKinley AJ, Currie EJ (1998) Tailoring the management of nonparasitic liver cysts. Ann Surg 228(2): 167–172

    Article  PubMed  CAS  Google Scholar 

  25. Kairaluoma MI, Leinonen A, Ståhlberg M (1989) Percutaneous aspiration and alcohol sclerotherapy for symptomatic hepatic cysts. An alternative to surgical intervention. Ann Surg 210(2):208–215

    Article  PubMed  CAS  Google Scholar 

  26. Furuta T, Yoshida Y, Saku M (1990) Treatment of symptomatic non-parasitic liver cysts-surgical treatment versus alcohol injection therapy. HPB Surg 2(4):269–277

    Article  PubMed  CAS  Google Scholar 

  27. Simonetti G, Profili S, Sergiacomi GL et al (1993) Percutaneous treatment of hepatic cysts by aspiration and sclerotherapy. Cardiovasc Intervent Radiol 16(2):81–84

    Article  PubMed  CAS  Google Scholar 

  28. Montorsi M, Torzilli G, Fumagalli U (1994) Percutaneous alcohol sclerotherapy of simple hepatic cysts. Results from a multicentre survey in Italy. HPB Surg 8(2): 89–94

    Article  Google Scholar 

  29. vanSonnenberg E, Wroblicka JT, D’Agostino HB (1994) Symptomatic hepatic cysts: percutaneous drainage and sclerosis. Radiology 190(2):387–392

    PubMed  CAS  Google Scholar 

  30. Larssen TB, Rosendahl K, Horn A (2003) Single-session alcohol sclerotherapy in symptomatic benign hepatic cysts performed with a time of exposure to alcohol of 10 min: initial results. Eur Radiol 13(12):2627–2632

    Article  PubMed  Google Scholar 

  31. Erdogan D, van Delden OM, Rauws EA (2007) Results of percutaneous sclerotherapy and surgical treatment in patients with symptomatic simple liver cysts and polycystic liver disease. World J Gastroenterol 13(22):3095–100

    PubMed  Google Scholar 

  32. Ralls PW, Colletti PM, Lapin SA (1985) Real-time sonography in suspected acute cholecystitis. Prospective evaluation of primary and secondary signs. Radiology 155(3):767–771

    PubMed  CAS  Google Scholar 

  33. Boggi U, Di Candio G, Campatelli A (1999) Percutaneous cholecystostomy for acute cholecystitis in critically ill patients. Hepatogastroenterology 46:121–125

    PubMed  CAS  Google Scholar 

  34. Sheridan RL, Ryan CM, Lee MJ (1995) Percutaneous cholecystostomy in the critically ill burn patient. J Trauma 38:248–251

    Article  PubMed  CAS  Google Scholar 

  35. Delattre JF, Bouche O, Szerzyna N et al (1993) Value and limitation of ultrasound-guided percutaneous drainage in acute lithiasic cholecystitis Ann Chir 47(1):24–31

    PubMed  CAS  Google Scholar 

  36. Melin MM, Sarr MG, Bender CE, van Heerden JA (1995) Percutaneous cholecystostomy:a valuable technique in high-risk patients with presumed acute cholecystitis. Br J Surg 82:1274–1277

    Article  PubMed  CAS  Google Scholar 

  37. Van Steenbergen W, Ponette E, Marchal G et al (1990) Percutaneous transhepatic cholecystostomy for acute complicated cholecystitis in ederly patients. Am J Gastroenterol 85:1363–1369

    PubMed  Google Scholar 

  38. Macrì A, Scuderi G, Saladino E (2006) Acute gallstone cholecystitis in the elderly: treatment with emergency ultrasonographic percutaneous cholecystostomy and interval laparoscopic cholecystectomy. Surg Endosc 20(1):88–91

    Article  PubMed  Google Scholar 

  39. Borzellino G, de Manzoni G, Ricci F (1999) Emergency cholecystostomy and subsequent cholecystectomy for acute gallstone cholecystitis in the elderly. Br J Surg 86(12):1521–1525

    Article  PubMed  CAS  Google Scholar 

  40. Shiina S, Tagawa K, Niwa Y et al (1993) Percutaneous ethanol injection therapy for hepatocellular carcinoma: results in 146 patients. AJR Am J Roentgenol 160(5):1023–1028

    PubMed  CAS  Google Scholar 

  41. Livraghi T, Benedini V, Lazzaroni S (1998) Long term results of single session percutaneous ethanol injection in patients with large hepatocellular carcinoma. Cancer 83(1):48–57

    Article  PubMed  CAS  Google Scholar 

  42. Ebara M, Ohto M, Sugiura N (1990) Percutaneous ethanol injection for the treatment of small hepatocellular carcinoma. Study of 95 patients. J Gastroenterol Hepatol 5(6):616–626

    Article  PubMed  CAS  Google Scholar 

  43. Livraghi T, Bolondi L, Lazzaroni S (1992) Percutaneous ethanol injection in the treatment of hepatocellular carcinoma in cirrhosis. A study on 207 patients. Cancer 69(4):925–929

    Article  PubMed  CAS  Google Scholar 

  44. Di Stasi M, Buscarini L, Livraghi T (1997) Percutaneous ethanol injection in the treatment of hepatocellular carcinoma. A multicenter survey of evaluation practices and complication rates. Scand J Gastroenterol 32(11):1168–1173

    Article  PubMed  Google Scholar 

  45. Ishii H, Okada S, Okusaka T (1998) Needle tract implantation of hepatocellular carcinoma after percutaneous ethanol injection. Cancer 82(9): 1638–1642

    Article  PubMed  CAS  Google Scholar 

  46. Youk JH, Lee JM, Kim CS (2003) Therapeutic response evaluation of malignant hepatic masses treated by interventional procedures with contrast-enhanced agent detection imaging. J Ultrasound Med 22(9):911–920

    PubMed  Google Scholar 

  47. Livraghi T, Giorgio A, Marin G et al (1995) Hepatocellular carcinoma and cirrhosis in 746 patients: long-term results of percutaneous ethanol injection. Radiology 197(1):101–108

    PubMed  CAS  Google Scholar 

  48. Lencioni R, Pinto F, Armillotta N et al (1997) Long-term results of percutaneous ethanol injection therapy for hepatocellular carcinoma in cirrhosis: a European experience. EurRadiol 7(4):514–519

    CAS  Google Scholar 

  49. Pompili M, Rapaccini GL, Covino M et al (2001) Prognostic factors for survival in patients with compensated cirrhosis and small hepatocellular carcinoma after percutaneous ethanol injection therapy. Cancer 92(1): 126–135

    Article  PubMed  CAS  Google Scholar 

  50. Hasegawa S, Yamasaki N, Hiwaki T et al (1999) Factors that predict intrahepatic recurrence of hepatocellular carcinoma in 81 patients initially treated by percutaneous ethanol injection. Cancer 86(9):1682–1690

    Article  PubMed  CAS  Google Scholar 

  51. Koda M, Murawaki Y, Mitsuda A et al (2000) Predictive factors for intrahepatic recurrence after percutaneous ethanol injection therapy for small hepatocellular carcinoma. Cancer 88(3):529–537

    Article  PubMed  CAS  Google Scholar 

  52. Castells A, Bruix J, Bru C et al (1993) Treatment of small hepatocellular carcinoma in cirrhotic patients: a cohort study comparing surgical resection and percutaneous ethanol injection. Hepatology 18(5):1121–1126

    PubMed  CAS  Google Scholar 

  53. Yamamoto J, Okada S, Shimada K et al (2001) Treatment strategy for small hepatocellular carcinoma: comparison of long-term results after percutaneous ethanol injection therapy and surgical resection. Hepatology 34:707–713

    Article  PubMed  CAS  Google Scholar 

  54. Daniele B, De Sio I, Izzo F et al (2003) CLIP Investigators. Hepatic resection and percutaneous ethanol injection as treatments of small hepatocellular carcinoma: a Cancer of the Liver Italian Program (CLIP 08) retrospective case-control study. J Clin Gastroenterol 36(1):63–67

    Article  PubMed  CAS  Google Scholar 

  55. Cho YB, Lee KU, Suh KS et al (2007) Hepatic resection compared to percutaneous ethanol injection for small hepatocellular carcinoma using propensity score matching. J Gastroenterol Hepatol 22(10):1643–1649

    Article  PubMed  Google Scholar 

  56. Denys AL, De Baere T, Kuoch V et al (2003) Radio-frequency tissue ablation of the liver: in vivo and ex vivo experiments with four different systems. Eur Radiol 13(10):2346–2352

    Article  PubMed  Google Scholar 

  57. Rossi S, Fornari F, Buscarini L (1993) Percutaneous radiofrequency interstitial thermal ablation for the treatment of small hepatocellular carcinoma. J Interv Radiol 8:97–103

    Google Scholar 

  58. Curley SA (2003) Radiofrequency ablation of malignant liver tumors. Ann Surg Oncol 10:338–347

    Article  PubMed  Google Scholar 

  59. Oshowo A, Gillams AR, Lees WR, Taylor I (2003) Radiofrequency ablation extends the scope of surgery in colorectal liver metastases. Eur J Surg Oncol 2003 29(3):244–247

    Article  PubMed  CAS  Google Scholar 

  60. Mulier S, Mulier P, Ni Y et al (2002) Complications of radio-frequency coagulation of liver tumors. Br J Surg 89:1206–1222

    Article  PubMed  CAS  Google Scholar 

  61. Lencioni RA, Allgaier HP, Cioni D et al (2003) Small hepatocellular carcinoma in cirrhosis: randomized comparison of radio-frequency thermal ablation versus percutaneous ethanol injection. Radiology 228(1):235–240

    Article  PubMed  Google Scholar 

  62. Lin SM, Lin CJ, Lin CC et al (2004) Radiofrequency ablation improves prognosis compared with ethanol injection for hepatocellular carcinoma < or =4 cm. Gastroenterology 127(6):1714–1723

    Article  PubMed  Google Scholar 

  63. Shiina S, Teratani T, Obi S et al (2005) A randomized controlled trial of radiofrequency ablation with ethanol injection for small hepatocellular carcinoma. Gastroenterology 129(1):122–130

    Article  PubMed  Google Scholar 

  64. Harrison LE, Koneru B, Baramipour P et al (2003) Locoregional recurrences are frequent after radiofrequency ablation for hepatocellular carcinoma. J Am Coll Surg 197(5):759–764

    Article  PubMed  Google Scholar 

  65. Guglielmi A, Ruzzenente A, Battocchia A et al (2003) Radiofrequency ablation of hepatocellular carcinoma in cirrhotic patients. Hepatogastroenterology 50(50):480–484

    PubMed  Google Scholar 

  66. Rossi S, Di Stasi M, Buscarini E et al (1996) Percutaneous RF interstitial thermal ablation in the treatment of hepatic cancer. AJR Am J Roentgenol 167(3):759–768

    PubMed  CAS  Google Scholar 

  67. Lencioni R, Cioni D, Crocetti L et al (2005) Early-stage hepatocellular carcinoma in patients with cirrhosis: long-term results of percutaneous image-guided radiofrequency ablation. Radiology 234(3):961–967

    Article  PubMed  Google Scholar 

  68. Tateishi R, Shiina S, Teratani T et al (2005) Percutaneous radiofrequency ablation for hepatocellular carcinoma. An analysis of 1000 cases. Cancer 103(6):1201–1209

    Article  PubMed  Google Scholar 

  69. Choi D, Lim HK, Rhim H et al (2007) Percutaneous radiofrequency ablation for recurrent hepatocellular carcinoma after hepatectomy: long-term results and prognostic factors. Ann Surg Oncol 14(8):2319–2329

    Article  PubMed  Google Scholar 

  70. Curley SA, Izzo F, Ellis LM et al (2000) Radiofrequency ablation of hepatocellular cancer in 110 patients with cirrhosis. Ann Surg 232(3):381–391

    Article  PubMed  CAS  Google Scholar 

  71. Guglielmi A, Ruzzenente A, Valdegamberi A et al (2008) Radiofrequency ablation versus surgical resection for the treatment of hepatocellular carcinoma in cirrhosis. J Gastrointest Surg 12(1):192–198

    Article  PubMed  Google Scholar 

  72. Donckier V, Van Laethem JL, Goldman S et al (2003) [F-18] fluorodeoxyglucose positron emission tomography as a tool for early recognition of incomplete tumor destruction after radiofrequency ablation for liver metastases. J Surg Oncol 84(4):215–223

    Article  PubMed  Google Scholar 

  73. Curley SA, Izzo F, Delrio P et al (1999) Radiofrequency ablation of unresectable primary and metastatic hepatic malignancies: results in 123 patients. Ann Surg 230:1–8

    Article  PubMed  CAS  Google Scholar 

  74. Wood TF, Rose DM, Chung M et al (2000) Radiofrequency ablation of 231 unresectable hepatic tumors: indications, limitations, and complications. Ann Surg Oncol 7:593–600

    PubMed  CAS  Google Scholar 

  75. de Baere T, Elias D, Dromain C et al (2000) Radiofrequency ablation of 100 hepatic metastases with a mean follow-up of more than 1 year. AJR Am J Roentgenol 175:1619–1625

    PubMed  Google Scholar 

  76. Gillams AR, Lees WR (2000) Survival after percutaneous, image-guided, thermal ablation of hepatic metastases from colorectal cancer. Dis Colon Rectum 43:656–661

    Article  PubMed  CAS  Google Scholar 

  77. Solbiati L, Livraghi T, Goldberg SN et al (2001) Percutaneous radio-frequency ablation of hepatic metastases from colorectal cancer: long-term results in 117 patients. Radiology 221:159–166

    Article  PubMed  CAS  Google Scholar 

  78. Pawlik TM, Izzo F, Cohen DS et al (2003) Combined resection and radiofrequency ablation for advanced hepatic malignancies: results in 172 patients. Ann Surg Oncol 10:1059–1069

    Article  PubMed  Google Scholar 

  79. Mutsaerts EL, Van Coevorden F, Krause R et al (2003) Initial experience with radiofrequency ablation for hepatic tumours in the Netherlands. Eur J Surg Oncol 29: 731–734

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Andrea Ruzzenente
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  2. Mirko D’onofrio
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  3. Silvia Pachera
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  4. Enrico Martone
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Ruzzenente, A., D’onofrio, M., Pachera, S., Martone, E. (2008). Procedure terapeutiche. In: Ecografia e procedure interventistiche percutanee. Springer, Milano. https://doi.org/10.1007/978-88-470-1062-8_2

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