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laparoscopic radiofrequency ablation

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https://www.readbyqxmd.com/read/27805457/laparoscopic-radiofrequency-ablation-combined-with-surgical-excision-for-exophytic-renal-angiomyolipoma-a-novel-technique-based-on-tumor-vasculature-features-of-enhancing-renal-masses-toward-hilar-off-clamping-nephron-sparing-surgery
#1
Wei Xiong, Qing Ran, Yangchun Du, Ji Lv, Fang Chen, Shan Zhong, Pu Guo, Ke Dou, Minghan Sun
OBJECTIVES: Symptomatic angiomyolipoma (AML) and asymptomatic AML larger than 4 cm in size are usually treated with nephron-sparing surgery or transarterial embolization. We used radiofrequency ablation to treat the vascular pedicle of exophytic AML with low R.E.N.A.L. nephrometry score and investigated its feasibility for hilar off-clamping nephron-sparing surgery. METHODS: Contrast-enhanced computed tomography (CT) showed enhanced, well-defined lipomatous tumors with a maximum diameter of 4-8 cm in the kidney of 15 patients...
November 2, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27748057/isolated-port-site-metastasis-of-hepatocellular-carcinoma-after-laparoscopic-liver-resection
#2
Kyoichi Kihara, Kanenori Endo, Kazunori Suzuki, Seiichi Nakamura, Takashi Sawata, Tetsu Shimizu, Masahide Ikeguchi, Yusuke Tokuyasu, Shu Nakamoto
Port-site metastasis of hepatocellular carcinoma (HCC) is extremely rare, and only one case has been reported in the English-language literature. Contamination with malignant cells along the needle tract during percutaneous biopsy or radiofrequency ablation is a well-recognized cause of HCC recurrence. Here, we describe a case of port-site metastasis after laparoscopic liver resection of HCC. The patient, who had undergone laparoscopic partial resection of the left lateral segment of the liver 18 months earlier, was diagnosed with HCC...
October 17, 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27744659/endoscopic-management-of-gastroesophageal-reflux-disease-revisited
#3
Zaheer Nabi, D Nageshwar Reddy
Gastroesophageal reflux disease (GERD) is defined by the presence of troublesome symptoms resulting from the reflux of gastric contents. The prevalence of GERD is increasing globally. An incompetent lower esophageal sphincter underlies the pathogenesis of GERD. Proton pump inhibitors (PPIs) form the core of GERD management. However, a substantial number of patients do not respond well to PPIs. The next option is anti-reflux surgery, which is efficacious, but it has its own limitations, such as gas bloating, inability to belch or vomit, and dysphagia...
September 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/27679104/novel-device-for-targeting-tumors-in-laparoscopic-radiofrequency-ablation-a-learning-curve-study
#4
D I Galen, W L Brown, M A Cassera, Z Jutric, C W Hammill
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27651639/clinicopathological-study-of-uterine-leiomyomas-a-multicentric-study-in-rural-population
#5
Maitri Raghavendra Kulkarni, Indranil Dutta, Dilip Kumar Dutta
BACKGROUND AND OBJECTIVES: Leiomyoma of uterus forms the most common type of benign tumor of uterus and also the most common pelvic tumor in women. The symptomatology continues to be variable. Surgery has for long been the main mode of therapy for the myomas. For women who wish to retain the uterus for future pregnancies or other reasons, myomectomy is preferred. Recent trend has been toward nonsurgical approaches like GnRH hormone analogs/agonists, RU 486, or selective uterine artery embolization, laparoscopic cryoablation, radiofrequency thermal ablation, and MRGUs...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27610019/application-of-stapling-devices-in-liver-surgery-current-status-and-future-prospects
#6
REVIEW
Dian-Bo Yao, Shuo-Dong Wu
The liver is a vascular-rich solid organ. Safe and effective dissection of the vessels and liver parenchyma, and control of intraoperative bleeding are the main concerns when performing liver resection. Several studies have confirmed that intraoperative blood loss and postoperative transfusion are predictors of postoperative morbidity and mortality in liver surgery. Various methods and instruments have been developed during hepatectomy. Stapling devices are crucial for safe and rapid anastomosis. They are used to divide hepatic veins and portal branches, and to transect liver parenchyma in open liver resection...
August 21, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27587213/-significance-of-three-dimensional-reconstruction-as-a-method-of-preoperative-planning-of-laparoscopic-radiofrequency-ablation
#7
W W Zhang, H G Wang, X J Shi, M Y Chen, S C Lu
OBJECTIVE: To discuss the significance of three-dimensional reconstruction as a method of preoperative planning of laparoscopic radiofrequency ablation(LRFA). METHODS: Thirty-two cases of LRFA admitted from January 2014 to December 2015 in Department of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital were analyzed(3D-LRFA group). Three-dimensional(3D) reconstruction were taken as a method of preoperative planning in 3D-LRFA group.Other 64 LRFA cases were paired over the same period without three-dimensional reconstruction before the operation (LRFA group)...
September 1, 2016: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/27581608/comparison-of-laparoscopic-microwave-to-radiofrequency-ablation-of-small-hepatocellular-carcinoma-%C3%A2-3%C3%A2-cm
#8
Roberto Santambrogio, Jason Chiang, Matteo Barabino, Franca Maria Meloni, Emanuela Bertolini, Fabio Melchiorre, Enrico Opocher
BACKGROUND: Laparoscopic thermal ablation is a common alternative to surgical resection in treating hepatic tumors, particularly in those located in difficult-to-reach locations. OBJECTIVE: The aim of this study was to compare the safety and long-term efficacy of laparoscopic radiofrequency ablation (RFA) and microwave ablation (MWA) in treating hepatocellular carcinoma (HCC). METHOD: From February 2009 to May 2015, data from patients with HCC nodules who had undergone either laparoscopic MWA or laparoscopic RFA were examined...
August 31, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27558744/laparoscopic-partial-splenectomy-for-giant-cyst-using-a-radiofrequency-assisted-device-a-case-report
#9
R Quesada, I Poves, M Iglesias, E Berjano, L Grande, F Burdío
BACKGROUND: Although radiofrequency-assisted devices have sometimes been used in partial splenectomy, this is not a common technique. This report describes the first case of laparoscopic partial splenectomy using an RF-assisted device (Coolinside) which allows both coagulation and transection of the parenchyma and eventually the protective coagulation of the remnant side. CASE PRESENTATION: A 27-year-old woman was found to have a giant hydatic cyst measuring 12...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27511444/radiofrequency-ablation-compared-with-laparoscopic-adrenalectomy-for-aldosterone-producing-adenoma
#10
S Y Liu, C M Chu, A P Kong, S K Wong, P W Chiu, F C Chow, E K Ng
BACKGROUND: Radiofrequency ablation (RFA) is an emerging treatment for primary aldosteronism owing to aldosterone-producing adenoma. Whether RFA could be an alternative treatment to laparoscopic adrenalectomy is unknown. METHODS: This was a retrospective comparative study in patients with aldosterone-producing adenoma undergoing either laparoscopic adrenalectomy or CT-guided percutaneous RFA between 2004 and 2012. Short-term outcomes and long-term resolution rates of primary aldosteronism (normalized aldosterone to renin ratio), hypokalaemia and hypertension (BP lower than 140/90 mmHg without antihypertensive medical therapy) were evaluated...
October 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27510559/thermal-ablation-for-hepatocellular-carcinoma-a-large-scale-analysis-of-long-term-outcome-and-prognostic-factors
#11
J Ding, X Jing, Y Wang, F Wang, Y Wang, Z Du
AIM: To investigate the long-term outcome and prognostic factors when treating hepatocellular carcinoma (HCC) with thermal ablation. MATERIALS AND METHODS: A total of 846 HCC patients, diagnosed histopathologically and/or radiologically, underwent thermal ablation from October 2001 to May 2013. Thermal ablation included both radiofrequency ablation (RFA) and microwave ablation (MWA), and was performed by percutaneous, open, and laparoscopic approaches. Clinical data, especially focused on disease-free survival, were retrospectively analysed by univariate and multivariate analyses...
August 7, 2016: Clinical Radiology
https://www.readbyqxmd.com/read/27498139/partial-nephrectomy-versus-ablative-therapy-for-the-treatment-of-renal-tumors-in-an-imperative-setting
#12
Jean-Alexandre Long, Jean-Christophe Bernhard, Pierre Bigot, Cecilia Lanchon, Philippe Paparel, Nathalie Rioux-Leclercq, Laurence Albiges, Thomas Bodin, François-Xavier Nouhaud, Romain Boissier, Pierre Gimel, Arnaud Méjean, Alexandra Masson-Lecomte, Nicolas Grenier, Francois Cornelis, Yohann Grassano, Vincent Comat, Quentin Come Le Clerc, Jérome Rigaud, Laurent Salomon, Jean-Luc Descotes, Christian Sengel, Morgan Roupret, Gregory Verhoest, Idir Ouzaid, Valentin Arnoux, Karim Bensalah
PURPOSE: To compare partial nephrectomy (PN) and percutaneous ablative therapy (AT) for renal tumor in imperative indication of nephron-sparing technique (NST). MATERIALS AND METHODS: Between 2000 and 2015, 284 consecutive patients with a kidney tumor in an imperative indication of NST were retrospectively included in a multicenter study. PN [open (n = 146), laparoscopic (n = 9), or robotic approach (n = 17)] and AT [radiofrequency ablation (n = 104) or cryoablation (n = 8)] were performed for solitary kidney (n = 146), bilateral tumor (n = 78), or chronic kidney disease (CKD) (n = 60)...
August 6, 2016: World Journal of Urology
https://www.readbyqxmd.com/read/27495779/radiofrequency-ablation-for-hcc-patients-with-multifocal-tumours-meeting-the-milan-criteria-a-single-centre-experience
#13
Wei Zhang, Li Jiang, Lunan Yan, Jiayin Yang, Bo Li, Tianfu Wen, Yong Zeng, WenTao Wang, Mingqing Xu
BACKGROUND: Radiofrequency ablation (RFA) has been recommended as a curative treatment for patients with single early-stage unifocal hepatocellular carcinomas (HCCs) for years; however, the effect of this treatment on multifocal tumours has remained uncertain. AIMS: We conducted a retrospective study to evaluate the overall survival (OS) and recurrence-free survival (RFS) rates of early HCC patients with multiple tumours subjected to different RFA modalities. METHODS: One hundred fifty-four HCC patients with multifocal tumours who met the Milan criteria and underwent RFA were enrolled in this study...
July 21, 2016: Digestive and Liver Disease
https://www.readbyqxmd.com/read/27490681/two-cases-of-laparoscopic-simultaneous-resection-of-colorectal-cancer-and-synchronous-liver-metastases-in-elderly-patients
#14
Tomoaki Ito, Tomoyuki Kushida, Mutsumi Sakurada, Hiroshi Maekawa, Hajime Orita, Konomi Mizuguchi, Koichi Sato
INTRODUCTION: The laparoscopic resection of colorectal cancer and laparoscopic liver surgery are widely considered to be safe. Recently, it has been reported that the simultaneous laparoscopic resection of primary colorectal cancer and liver metastasis is technically feasible and safe when it is performed at experienced centers. However, the feasibility of simultaneous laparoscopic procedures for colorectal cancer and synchronous colorectal liver metastases in elderly patients has not been studied sufficiently...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27444839/a-comparison-of-perioperative-outcomes-in-elderly-patients-with-malignant-liver-tumors-undergoing-laparoscopic-liver-resection-versus-radiofrequency-ablation
#15
Pinar Yazici, Muhammet Akyuz, Hakan Yigitbas, Cem Dural, Alexis Okoh, Nail Aydin, Eren Berber
BACKGROUND: Liver resection is the treatment option with the best chance for cure in patients with malignant liver tumors. However, there are concerns regarding postoperative recovery in elderly patients, which may lead to a preference of non-resectional therapies over hepatectomy in this patient population. Although laparoscopic liver resection (LLR) is associated with a faster recovery compared to open hepatectomy, there are scant data on how elderly patients tolerate LLR. The aim of this study was to analyze the perioperative outcomes of LLR in elderly patients with hepatic malignancies, with a comparison to laparoscopic RFA (LRFA)...
July 21, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27444829/precoagulation-assisted-parenchyma-sparing-laparoscopic-liver-surgery-rationale-and-surgical-technique
#16
Elisa Francone, Elena Muzio, Luigi D'Ambra, Carlo Aschele, Teseo Stefanini, Cinzia Sani, Emilio Falco, Stefano Berti
BACKGROUND: For the treatment of both primary and metastatic liver tumors, laparoscopic parenchyma-sparing surgery is advocated to reduce postoperative liver failure and facilitate reoperation in the case of recurrence. However, atypical and wedge resections are associated with a higher amount of intraoperative bleeding than are anatomical resections, and such bleeding is known to affect short- and long-term outcomes. Beyond the established role of radiofrequency and microwave ablation in the setting of inoperable liver tumors, the application of thermoablative energy along the plane of the liver surface to be transected results in a zone of coagulative necrosis, possibly minimizing bleeding of the cut liver surface during parenchymal transection...
July 21, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27354613/laparoscopic-liver-resection-is-a-feasible-treatment-for-patients-with-hepatocellular-carcinoma-and-portal-hypertension
#17
Noboru Harada, Takashi Maeda, Tomoharu Yoshizumi, Tetsuo Ikeda, Hiroto Kayashima, Toru Ikegami, Norifumi Harimoto, Shintaro Takaki, Yoshihiko Maehara
AIM: To compare outcomes of patients with primary hepatocellular carcinoma (HCC) and portal hypertension (PHT) who underwent laparoscopic liver resection (LLR), open liver resection (OLR) or radiofrequency ablation (RFA). PATIENTS AND METHODS: We retrospectively reviewed 88 patients with primary HCC and PHT who underwent LLR (n=20), OLR (n=48) or RFA (n=20) and analyzed their outcomes by treatment group. To reduce selection bias, covariate distributions in groups were adjusted using inverse probability treatment weighting (IPTW)...
July 2016: Anticancer Research
https://www.readbyqxmd.com/read/27300650/comparison-of-radiofrequency-ablation-versus-laparoscopic-adrenalectomy-for-benign-aldosterone-producing-adenoma
#18
Min-Hsin Yang, Yeu-Sheng Tyan, Yu-Hui Huang, Shao-Chuan Wang, Sung-Lang Chen
PURPOSE: To retrospectively compare the safety and efficacy of radiofrequency ablation (RFA) with laparoscopic adrenalectomy (LA) in treating aldosterone-producing adenoma (APA) of the adrenal gland. MATERIALS AND METHODS: From September 2009 to September 2013, seven patients, diagnosed with unilateral adrenal APA and underwent computed tomography (CT)-guided percutaneous RFA, were recruited in this retrospective study. Eighteen unilateral adrenal APA with the same tumor size (<25 mm) who underwent LA during the same interval were enrolled as control group...
October 2016: La Radiologia Medica
https://www.readbyqxmd.com/read/27285103/early-laparoscopic-radiofrequency-ablation-for-spontaneous-rupture-of-hepatocellular-carcinoma
#19
Jun Gao, Yiming Zhou, Qingshuai Zhang, Jian Kong, Shan Ke, Xuemei Ding, Shaohong Wang, Wenbing Sun
AIMS: To evaluate the technical and clinical outcomes of early laparoscopic radiofrequency (RF) ablation for spontaneously ruptured hepatocellular carcinoma (HCC). METHODS: From April 2005 to July 2015, ten patients with spontaneously ruptured HCC treated by laparoscopic RF ablation in our hospital were included in the study. The post treatment outcomes were recorded and analyzed. RESULTS: The mean size of the 10 HCCs was 6.6 ± 2.2 cm (4...
July 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27155310/comparative-effects-of-irreversible-electroporation-radiofrequency-ablation-and-partial-nephrectomy-on-renal-function-preservation-in-a-porcine-solitary-kidney-model
#20
Monica S C Morgan, Asim Ozayar, Elena Lucas, Justin I Friedlander, Nabeel A Shakir, Jeffrey A Cadeddu
OBJECTIVE: To evaluate kidney function preservation or regeneration and pathological changes post-irreversible electroporation (IRE) in comparison with partial nephrectomy and radiofrequency ablation (RFA) in a solitary kidney porcine model. Tissue ablation using IRE has been reported to spare critical anatomic structures within or near the ablation zone with associated regeneration of adjacent parenchyma, possibly offering functional preservation. METHODS: Fifteen pigs initially underwent laparoscopic nephrectomy...
August 2016: Urology
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