Radiofrequency Ablation of Hepatocellular Carcinoma: A Literature Review

Radiofrequency ablation (RFA) of liver cancers can be performed safely using percutaneous, laparoscopic, or open surgical techniques, and much of the impetus for the use of RFA has come from cohort series that have provided an evidence base for this technique. Here, we give an overview of the curren...

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Main Authors: Yasunori Minami, Masatoshi Kudo
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Hepatology
Online Access:http://dx.doi.org/10.4061/2011/104685
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author Yasunori Minami
Masatoshi Kudo
author_facet Yasunori Minami
Masatoshi Kudo
author_sort Yasunori Minami
collection DOAJ
description Radiofrequency ablation (RFA) of liver cancers can be performed safely using percutaneous, laparoscopic, or open surgical techniques, and much of the impetus for the use of RFA has come from cohort series that have provided an evidence base for this technique. Here, we give an overview of the current status of radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC), including its physical properties, to assess the characteristics that make this technique applicable in clinical practice. We review the technical development of probe design and summarize current indications and outcomes of reported clinical use. An accurate evaluation of treatment response is very important to secure successful RFA therapy since a sufficient safety margin (at least 0.5 cm) can prevent local tumor recurrences. We also provide a profile of side effects and information on the integration of this technique into the general management of patients with HCC. To minimize complications of RFA, physicians should be familiar with each feature of complication. Appropriate management of complications is essential for successful RFA treatment. Moreover, adjuvant therapy, such as molecular targeted therapies following curative therapy, is expected to further improve survival after RFA.
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spelling doaj-art-29659484b9a94d1ca3dffdeb4efbc07e2025-02-03T07:24:45ZengWileyInternational Journal of Hepatology2090-34482090-34562011-01-01201110.4061/2011/104685104685Radiofrequency Ablation of Hepatocellular Carcinoma: A Literature ReviewYasunori Minami0Masatoshi Kudo1Department of Gastroenterology and Hepatology, School of Medicine, Kinki University, 377-2 Ohno-Higashi, Osaka-Sayama 589-8511, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Kinki University, 377-2 Ohno-Higashi, Osaka-Sayama 589-8511, JapanRadiofrequency ablation (RFA) of liver cancers can be performed safely using percutaneous, laparoscopic, or open surgical techniques, and much of the impetus for the use of RFA has come from cohort series that have provided an evidence base for this technique. Here, we give an overview of the current status of radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC), including its physical properties, to assess the characteristics that make this technique applicable in clinical practice. We review the technical development of probe design and summarize current indications and outcomes of reported clinical use. An accurate evaluation of treatment response is very important to secure successful RFA therapy since a sufficient safety margin (at least 0.5 cm) can prevent local tumor recurrences. We also provide a profile of side effects and information on the integration of this technique into the general management of patients with HCC. To minimize complications of RFA, physicians should be familiar with each feature of complication. Appropriate management of complications is essential for successful RFA treatment. Moreover, adjuvant therapy, such as molecular targeted therapies following curative therapy, is expected to further improve survival after RFA.http://dx.doi.org/10.4061/2011/104685
spellingShingle Yasunori Minami
Masatoshi Kudo
Radiofrequency Ablation of Hepatocellular Carcinoma: A Literature Review
International Journal of Hepatology
title Radiofrequency Ablation of Hepatocellular Carcinoma: A Literature Review
title_full Radiofrequency Ablation of Hepatocellular Carcinoma: A Literature Review
title_fullStr Radiofrequency Ablation of Hepatocellular Carcinoma: A Literature Review
title_full_unstemmed Radiofrequency Ablation of Hepatocellular Carcinoma: A Literature Review
title_short Radiofrequency Ablation of Hepatocellular Carcinoma: A Literature Review
title_sort radiofrequency ablation of hepatocellular carcinoma a literature review
url http://dx.doi.org/10.4061/2011/104685
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