L Tarantino, I Sordelli, D Parmeggiani, D Pisaniello, E Marzullo, M Di Marzo, A Santoriello, P Sperlongano
{"title":"[Interstitial laser treatment of small hepatocarcinoma on cirrhosis without anesthesia: feasibility study].","authors":"L Tarantino, I Sordelli, D Parmeggiani, D Pisaniello, E Marzullo, M Di Marzo, A Santoriello, P Sperlongano","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>We evaluated if interstitial laser photocoagulation (ILP) under ultrasound (US) guidance of intraparenchymal small HCC (<2 cm) in cirrhosis can be safely and effectively performed without any anesthesia.</p><p><strong>Patients and methods: </strong>Twelve cirrhotic patients with 14 nodules of HCC (diameter 1.2-2.0 cm; mean: 1.7) underwent ILP. All procedures were performed without local or general anesthesia. Necrosis of the nodules was evaluated with triphasic contrast-enhanced CT.</p><p><strong>Results: </strong>Post-treatment CT showed complete necrosis in all cases. Pain occurred in 5 patients during the treatment was treated with iv pain-killer and only in 1 case the procedure was stopped before the scheduled time. No major complication occurred.</p><p><strong>Conclusions: </strong>ILP under US guidance is feasible without any anesthesia in patients with small intraparenchymal HCC.</p>","PeriodicalId":84869,"journal":{"name":"I supplementi di Tumori : official journal of Societa italiana di cancerologia ... [et al.]","volume":"4 3","pages":"S53"},"PeriodicalIF":0.0000,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"I supplementi di Tumori : official journal of Societa italiana di cancerologia ... [et al.]","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: We evaluated if interstitial laser photocoagulation (ILP) under ultrasound (US) guidance of intraparenchymal small HCC (<2 cm) in cirrhosis can be safely and effectively performed without any anesthesia.
Patients and methods: Twelve cirrhotic patients with 14 nodules of HCC (diameter 1.2-2.0 cm; mean: 1.7) underwent ILP. All procedures were performed without local or general anesthesia. Necrosis of the nodules was evaluated with triphasic contrast-enhanced CT.
Results: Post-treatment CT showed complete necrosis in all cases. Pain occurred in 5 patients during the treatment was treated with iv pain-killer and only in 1 case the procedure was stopped before the scheduled time. No major complication occurred.
Conclusions: ILP under US guidance is feasible without any anesthesia in patients with small intraparenchymal HCC.
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