尾状叶肝癌射频消融治疗新进展  

Advances in radiofrequency ablation of hepatocellular carcinoma originating from the caudate lobe

作　　者：刘俊杰 谷昊[1] LIU Junjie;GU Hao(Department of Liver Transplantation and Laparoscopic Surgery,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院肝移植腹腔镜外科,乌鲁木齐830054

出　　处：《临床肝胆病杂志》2020年第11期2574-2578,共5页Journal of Clinical Hepatology

基　　金：新疆维吾尔自治区自然科学基金(2017D01C306)。

摘　　要：尾状叶肝癌因其深在的解剖学位置和复杂的血供特点,成为外科手术切除的难点,而射频消融术因其精准微创的优势,逐渐应用于尾状叶肝癌的治疗。简述了尾状叶的解剖学特点,详细介绍了尾状叶射频的入路方式、术中引导方式及射频消融针的选择等新进展,汇总了近十年最新文献,总结了尾状叶射频消融相关的手术安全性和有效性。最终认为射频消融术治疗尾状叶肝癌是一种有前景的替代方案,不仅有微创、可重复性及并发症少的优点,也完全可以达到彻底消融病灶的目的。Due to its deep anatomic location and complex blood supply characteristics,hepatocellular carcinoma originating from the caudate lobe has become the difficulty in surgical resection,and radiofrequency ablation(RFA)is gradually applied to the treatment of hepatocellular carcinoma originating from the caudate lobe with the help of its advantages of precision and minimal invasiveness.This article briefly describes the anatomic characteristics of the caudate lobe,introduces the advances in radiofrequency approach for the caudate lobe,intraoperative guidance,and selection of RFA needle in detail,and summarizes the surgical safety and effectiveness of RFA associated with the caudate lobe through an analysis of the latest articles in recent ten years.It is concluded that RFA is a promising alternative for the treatment of hepatocellular carcinoma originating from the caudate lobe with the advantages of minimal invasiveness,good repeatability,and few complications,and it can also achieve the goal of complete ablation.

关 键 词：肝肿瘤 射频消融 治疗学 

分 类 号：R735.7[医药卫生—肿瘤]