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  • Title: Successful laparoscopic radiofrequency ablation of hepatocellular carcinoma adhered to the mesentery after transcatheter arterial embolization.
    Author: Kurokohchi K, Masaki T, Himoto T, Deguchi A, Nakai S, Yoneyama H, Yoshida S, Kimura Y, Inoue H, Kinekawa F, Yoshitake A, Izuishi K, Watanabe S, Kuriyama S.
    Journal: Oncol Rep; 2005 Jan; 13(1):65-8. PubMed ID: 15583803.
    Abstract:
    A 54-year-old male with hepatocellular carcinoma (HCC) underwent transcatheter arterial embolization (TAE) at a nearby hospital. He was then referred to our hospital for the purpose of additional treatment of HCC. Because TAE was not a complete therapy and HCC was growing and protruding from the left lobe of the liver, laparoscopic radio-frequency ablation (RFA) was chosen for the treatment of HCC. After inserting a laparoscope into the abdominal cavity, it was observed that HCC unexpectedly adhered to the mesentery as a result of TAE performed previously. After cutting off the adhered mesentery and removing it from the tumor, the combination therapy of percutaneous ethanol injection and RFA (PEI-RFA), developed at our department, was performed on the tumor. The tumor was successfully abrogated by PEI-RFA and the sufficient safety margin was confirmed by computed tomography after the treatment.
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