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Application of Artificial Pleural Effusion in Microwave Ablation of Liver Tumor

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Microwave Ablation Treatment of Solid Tumors

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Abstract

Image-guided percutaneous thermal ablation therapy, such as radiofrequency or microwave, has been widely used for liver tumors. However, when the tumors are located in the hepatic dome, it is difficult to perform ablation because of poor visualization due to the presence of pulmonary air, which can obstruct the transmission of ultrasound or make it impossible to identify a safe puncture path. In order to perform therapy on liver tumors located in the hepatic dome, the artificial pleural effusion technique has been applied. This chapter introduces indications for artificial pleural effusion, procedure for artificial pleural effusion, the category of solution injected, and our study concerning the efficacy of artificial pleural effusion.

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Abbreviations

MWA:

Microwave ablation

References

  1. Liang P, Dong B, Yu X, Yu D, Wang Y, Feng L, Xiao Q. Prognostic factors for survival in patients with hepatocellular carcinoma after percutaneous microwave ablation. Radiology. 2005;235(1):299–307.

    Article  PubMed  Google Scholar 

  2. N’Kontchou G, Mahamoudi A, Aout M, Ganne-Carrie N, Grando V, Coderc E, Vicaut E, Trinchet JC, Sellier N, Beaugrand M, Seror O. Radiofrequency ablation of hepatocellular carcinoma: long-term results and prognostic factors in 235 Western patients with cirrhosis. Hepatology. 2009;50(5):1475–83.

    Article  PubMed  CAS  Google Scholar 

  3. Dong B, Liang P, Yu X, Su L, Yu D, Cheng Z, Zhang J. Percutaneous sonographically guided microwave coagulation therapy for hepatocellular carcinoma: results in 234 patients. AJR Am J Roentgenol. 2003;180(6):1547–55.

    Article  PubMed  Google Scholar 

  4. Lencioni R, Cioni D, Crocetti L, Franchini C, Pina CD, Lera J, Bartolozzi C. Early-stage hepatocellular carcinoma in patients with cirrhosis: long-term results of percutaneous image-guided radiofrequency ablation. Radiology. 2005;234(3):961–7.

    Article  PubMed  Google Scholar 

  5. Yoon HM, Kim JH, Shin YM, Won HJ, Kim PN. Percutaneous radiofrequency ablation using internally cooled wet electrodes for treatment of colorectal liver metastases. Clin Radiol. 2012;67(2):122–7.

    Article  PubMed  CAS  Google Scholar 

  6. Nishikawa H, Osaki Y, Iguchi E, Takeda H, Ohara Y, Sakamoto A, Hatamaru K, Saito S, Nasu A, Kita R, Kimura T. Percutaneous radiofrequency ablation therapy for recurrent hepatocellular carcinoma. Anticancer Res. 2012;32(11):5059–65.

    PubMed  Google Scholar 

  7. Zacharoulis D, Asopa V, Navarra G, Nicholls JP, Jensen SL, Habib NA. Hepatectomy using intraoperative ultrasound-guided radiofrequency ablation. Int Surg. 2003;88(2):80–2.

    PubMed  Google Scholar 

  8. Yokoyama T, Egami K, Miyamoto M, Watanabe H, Hasegawa H, Iida S, Suzuki S, Nakamura Y, Okawa K, Hagiwara N, Takashima Y, Yoshioka M, Tajiri T, Onda M. Percutaneous and laparoscopic approaches of radiofrequency ablation treatment for liver cancer. J Hepatobiliary Pancreat Surg. 2003;10(6):425–7.

    Article  PubMed  Google Scholar 

  9. Crucitti A, Danza FM, Antinori A, Vincenzo A, Pirulli PG, Bock E, Magistrelli P. Radiofrequency thermal ablation (RFA) of liver tumors: percutaneous and open surgical approaches. J Exp Clin Cancer Res. 2003;22(4 Suppl):191–5.

    PubMed  CAS  Google Scholar 

  10. Machi J, Uchida S, Sumida K, Limm WM, Hundahl SA, Oishi AJ, Furumoto NL, Oishi RH. Ultrasound-guided radiofrequency thermal ablation of liver tumors: percutaneous, laparoscopic, and open surgical approaches. J Gastrointest Surg. 2001;5(5):477–89.

    Article  PubMed  CAS  Google Scholar 

  11. Xu HX, Wang Y, Lu MD, Liu LN. Percutaneous ultrasound-guided thermal ablation for intrahepatic cholangiocarcinoma. Br J Radiol. 2012;85(1016):1078–84.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Carrafiello G, Fontana F, Cotta E, Petulla M, Brunese L, Mangini M, Fugazzola C. Ultrasound-guided thermal radiofrequency ablation (RFA) as an adjunct to systemic chemotherapy for breast cancer liver metastases. Radiol Med. 2011;116(7):1059–66.

    Article  PubMed  CAS  Google Scholar 

  13. Hofer S, Oberholzer C, Beck S, Looser C, Ludwig C. Ultrasound-guided radiofrequency ablation (RFA) for inoperable gastrointestinal liver metastases. Ultraschall Med. 2008;29(4):388–92.

    Article  PubMed  CAS  Google Scholar 

  14. Chiou YY, Hwang JI, Chou YH, Wang HK, Chiang JH, Chang CY. Percutaneous ultrasound-guided radiofrequency ablation of intrahepatic cholangiocarcinoma. Kaohsiung J Med Sci. 2005;21(7):304–9.

    Article  PubMed  Google Scholar 

  15. Xu HX, Xie XY, Lu MD, Chen JW, Yin XY, Xu ZF, Liu GJ. Ultrasound-guided percutaneous thermal ablation of hepatocellular carcinoma using microwave and radiofrequency ablation. Clin Radiol. 2004;59(1):53–61.

    Article  PubMed  Google Scholar 

  16. Kim PN, Choi D, Rhim H, Rha SE, Hong HP, Lee J, Choi JI, Kim JW, Seo JW, Lee EJ, Lim HK. Planning ultrasound for percutaneous radiofrequency ablation to treat small (</=3 cm) hepatocellular carcinomas detected on computed tomography or magnetic resonance imaging: a multicenter prospective study to assess factors affecting ultrasound visibility. J Vasc Interv Radiol. 2012;23(5):627–34.

    Article  PubMed  Google Scholar 

  17. Nesher N, Ben Haim M, Pevni D, Kessler A, Paz Y. Ultrasound-guided, video-assisted transdiaphragmatic radiofrequency ablation for primary liver malignancy or metastatic nodules. Innov (Phila). 2011;6(5):337–40.

    Article  Google Scholar 

  18. Liu LN, Xu HX, Lu MD, Xie XY. Percutaneous ultrasound-guided thermal ablation for liver tumor with artificial pleural effusion or ascites. Chin J Cancer. 2010;29(9):830–5.

    Article  PubMed  Google Scholar 

  19. Uehara T, Hirooka M, Ishida K, Hiraoka A, Kumagi T, Kisaka Y, Hiasa Y, Onji M. Percutaneous ultrasound-guided radiofrequency ablation of hepatocellular carcinoma with artificially induced pleural effusion and ascites. J Gastroenterol. 2007;42(4):306–11.

    Article  PubMed  Google Scholar 

  20. Minami Y, Kudo M, Kawasaki T, Chung H, Ogawa C, Inoue T, Sakaguchi Y, Sakamoto H, Shiozaki H. Percutaneous ultrasound-guided radiofrequency ablation with artificial pleural effusion for hepatocellular carcinoma in the hepatic dome. J Gastroenterol. 2003;38(11):1066–70.

    Article  PubMed  Google Scholar 

  21. Shimada S, Hirota M, Beppu T, Shiomori K, Marutsuka T, Matsuo A, Tanaka E, Ogawa M. A new procedure of percutaneous microwave coagulation therapy under artificial hydrothorax for patients with liver tumors in the hepatic dome. Surg Today. 2001;31(1):40–4.

    Article  PubMed  CAS  Google Scholar 

  22. Kume A, Nimura Y, Kamiya J, Nagino M, Kito Y. Percutaneous ethanol injection via an artificially induced right hydrothorax for hepatocellular carcinoma in the hepatic dome. Cardiovasc Intervent Radiol. 2003;26(6):543–9.

    Article  PubMed  Google Scholar 

  23. Koda M, Ueki M, Maeda Y, Mimura K, Okamoto K, Matsunaga Y, Kawakami M, Hosho K, Murawaki Y. Percutaneous sonographically guided radiofrequency ablation with artificial pleural effusion for hepatocellular carcinoma located under the diaphragm. AJR Am J Roentgenol. 2004;183(3):583–8.

    Article  PubMed  Google Scholar 

  24. Minami Y, Kudo M, Kawasaki T, Chung H, Ogawa C, Shiozaki H. Percutaneous radiofrequency ablation guided by contrast-enhanced harmonic sonography with artificial pleural effusion for hepatocellular carcinoma in the hepatic dome. AJR Am J Roentgenol. 2004;182(5):1224–6.

    Article  PubMed  Google Scholar 

  25. Kang TW, Rhim H, Lee MW, Kim YS, Choi D, Lee WJ, Lim HK. Radiofrequency ablation for hepatocellular carcinoma abutting the diaphragm: comparison of effects of thermal protection and therapeutic efficacy. AJR Am J Roentgenol. 2011;196(4):907–13.

    Article  PubMed  Google Scholar 

  26. Hinshaw JL, Laeseke PF, Winter 3rd TC, Kliewer MA, Fine JP, Lee Jr FT. Radiofrequency ablation of peripheral liver tumors: intraperitoneal 5% dextrose in water decreases postprocedural pain. AJR Am J Roentgenol. 2006;186(5 Suppl):S306–10.

    Article  PubMed  Google Scholar 

  27. Laeseke PF, Sampson LA, Brace CL, Winter 3rd TC, Fine JP, Lee Jr FT. Unintended thermal injuries from radiofrequency ablation: protection with 5% dextrose in water. AJR Am J Roentgenol. 2006;186(5 Suppl):S249–54.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Interventional Ultrasound, Chinese PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China

    Dezhi Zhang MD & Ping Liang MD

Authors
  1. Dezhi Zhang MD
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  2. Ping Liang MD
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Corresponding author

Correspondence to Ping Liang MD .

Editor information

Editors and Affiliations

  1. The Dept. of Interventional Ultrasound, Chinese PLA General Hospital, Beijing, China

    Ping Liang

  2. The Dept. of Interventional Ultrasound, Chinese PLA General Hospital, Beijing, China

    Xiao-ling Yu

  3. The Dept. of Interventional Ultrasound, Chinese PLA General Hospital, Beijing, China

    Jie Yu

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Zhang, D., Liang, P. (2015). Application of Artificial Pleural Effusion in Microwave Ablation of Liver Tumor. In: Liang, P., Yu, Xl., Yu, J. (eds) Microwave Ablation Treatment of Solid Tumors. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9315-5_13

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  • DOI: https://doi.org/10.1007/978-94-017-9315-5_13

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-9314-8

  • Online ISBN: 978-94-017-9315-5

  • eBook Packages: MedicineMedicine (R0)

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