{"title":"Cryosurgery for hepatocellular carcinoma","authors":"N. Lizhi","doi":"10.1142/9789814329668_0029","DOIUrl":null,"url":null,"abstract":"Cryosurgery is an important modality for treatment of unresectable hepatocellular carcinoma (HCC). There are different forms of cryosurgery for HCC which are intraoperative cryoablation with or without excision, laparoscopic liver cryosurgery, and percutaneous liver cryoablation under guiding of ultrasonography or CT. As a local therapy, cryoablation carries certain advantages over other forms of treatment:it is able to destroy only the tumor tissue in liver while sparing more noninvolved tissues; because of the warming effect of flowing blood in the large blood vessels, tumors close to these vessel system can safely undergo cryoablation; liver cryoablation is more effective than surgical resection in treating multiple tumors in the liver. Cryosurgery with combination of transarterial chemoembolization (TACE), alcohol injection or 125iodine seed implantation has a complementary efficacy. Clinically, cryosurgery for HCC is performed according to the following principles:tumors in liver 5 cm,≤3 in number, may be performed intraoperative or percutaneous cryosurgery; tumor in liver 5 cm,should receive TACE, and then percutaneous cryosurgery; tumor in liver 5 cm with irregular margin, may be given intraoperative or percutaneous cryosurgery, and then alcohol injection or 125iodine seed implantation in the margin of tumor.","PeriodicalId":10056,"journal":{"name":"胃肠病学和肝病学杂志","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"胃肠病学和肝病学杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1142/9789814329668_0029","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
Cryosurgery is an important modality for treatment of unresectable hepatocellular carcinoma (HCC). There are different forms of cryosurgery for HCC which are intraoperative cryoablation with or without excision, laparoscopic liver cryosurgery, and percutaneous liver cryoablation under guiding of ultrasonography or CT. As a local therapy, cryoablation carries certain advantages over other forms of treatment:it is able to destroy only the tumor tissue in liver while sparing more noninvolved tissues; because of the warming effect of flowing blood in the large blood vessels, tumors close to these vessel system can safely undergo cryoablation; liver cryoablation is more effective than surgical resection in treating multiple tumors in the liver. Cryosurgery with combination of transarterial chemoembolization (TACE), alcohol injection or 125iodine seed implantation has a complementary efficacy. Clinically, cryosurgery for HCC is performed according to the following principles:tumors in liver 5 cm,≤3 in number, may be performed intraoperative or percutaneous cryosurgery; tumor in liver 5 cm,should receive TACE, and then percutaneous cryosurgery; tumor in liver 5 cm with irregular margin, may be given intraoperative or percutaneous cryosurgery, and then alcohol injection or 125iodine seed implantation in the margin of tumor.
期刊介绍：
Chinese Journal of Gastroenterology and Hepatology is a digestive academic journal sponsored by Zhengzhou University. It is open to submissions from home and abroad. The journal was founded in 1992 and officially approved in 1993. It has won the "Second Prize of Henan Province Excellent Science and Technology Journal". It was published quarterly from 1992 to 2002, bimonthly from 2003 to 2007, and monthly from 2008 to date. Since 2002, it has been included in the statistical source journals of scientific and technological papers of the Ministry of Science and Technology (core journals of the Ministry of Science and Technology). The purpose of publishing is to focus on improvement, while paying attention to popularization, striving to achieve popularization and improvement at the same time, following the principle of "improvement as the guide, improvement on the basis of popularization", to guide and promote the development of disciplines. In the publishing process, we pay attention to the advancement, readability, applicability, innovation, orientation, timeliness and policy of the content, and strive to achieve the standardization of editing and publishing.
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