How to do radiofrequency ablation for liver cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZOU Mengda ,  MA Kuansheng

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Army Medical University , Chongqing 400038, P. R. China;

Corresponding author：

MA Kuansheng, Email: kuanshengma@outlook.com

Keywords：

radiofrequency ablation; liver cancer

DOI：

10.7507/1007-9424.202205025

Video：

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Based on the experience of more than 10 000 times of radiofrequency ablation treatment and the clinical and basic research results of radiofrequency ablation treatment of liver cancer obtained during the period, the author shares the experience of radiofrequency ablation indication selection, preoperative preparation, concept of radiofrequency ablation and postoperative follow-up of liver cancer. The purpose is to explore how to improve the curative effect of RFA treatment for small liver cancer, and reduce local residue, recurrence, as well as relevant complications.

Citation： ZOU Mengda, MA Kuansheng. How to do radiofrequency ablation for liver cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(9): 1129-1133. doi: 10.7507/1007-9424.202205025 Copy

1.	McGahan JP, Browning PD, Brock JM, et al. Hepatic ablation using bipolar radiofrequency electrocautery. Invest Radiol, 1990, 25(3): 267-270.
2.	Rossi S, Fornari F, Pathies C, et al. Thermal lesions induced by 480 kHz localized current field in guinea pig and pig liver. Tumori, 1990, 76(1): 54-57.
3.	Nault JC, Sutter O, Nahon P, et al. Percutaneous treatment of hepatocellular carcinoma: State of the art and innovations. J Hepatol, 2018, 68(4): 783-797.
4.	冯凯, 马宽生, 别平. 射频消融在肝细胞肝癌根治性治疗中的临床价值. 中国普外基础与临床杂志, 2014, 21(2): 150-155.
5.	中华人民共和国国家卫生健康委员会. 原发性肝癌诊疗指南(2022年版). 中华外科杂志, 2022, 60(4): 273-309.
6.	Xu XL, Liu XD, Liang M, et al. Radiofrequency ablation versus hepatic resection for small hepatocellular carcinoma: Systematic review of randomized controlled trials with meta-analysis and trial sequential analysis. Radiology, 2018, 287(2): 461-472.
7.	Elias D, Bonnet S, Honoré C, et al. Comparison between the minimum margin defined on preoperative imaging and the final surgical margin after hepatectomy for cancer: how to manage it? Ann Surg Oncol, 2008, 15(3): 777-781.
8.	Jiang YQ, Wang ZX, Deng YN, et al. Efficacy of hepatic resection vs. radiofrequency ablation for patients with very-early-stage or early-stage hepatocellular carcinoma: A population-based study with stratification by age and tumor size. Front Oncol, 2019, 9: 113. doi: 10.3389/fonc.2019.00113.
9.	李玉民, 马臻, 陈昊. 原发性肝癌射频消融治疗. 中华肝脏外科手术学电子杂志, 2017, 6(5): 337-342.
10.	高恒军, 陈敏山. 原发性肝癌的射频消融治疗. 临床肝胆病杂志, 2012, 28(4): 249-252.
11.	Omata M, Tateishi R, Yoshida H, et al. Treatment of hepatocellular carcinoma by percutaneous tumor ablation methods: Ethanol injection therapy and radiofrequency ablation. Gastroenterology, 2004, 127(5 Suppl 1): S159-S166.
12.	Zhang K, Jiang L, Jia Z, et al. Radiofrequency ablation plus devascularization is the preferred treatment of hepatocellular carcinoma with esophageal varices. Dig Dis Sci, 2015, 60(5): 1490-1501.
13.	Uchino K, Tateishi R, Wake T, et al. Radiofrequency ablation of liver tumors in patients on antithrombotic therapy: A case-control analysis of over 10 000 treatments. J Vasc Interv Radiol, 2021, 32(6): 869-877.
14.	Kim H, Triplett D, Kauffman S, et al. Hepatic abscess: A rare presentation of sump syndrome after choledochojejunostomy. ACG Case Rep J, 2020, 7(8): e00447. doi: 10.14309/crj.0000000000000447.
15.	Livraghi T, Solbiati L, Meloni MF, et al. Treatment of focal liver tumors with percutaneous radio-frequency ablation: complications encountered in a multicenter study. Radiology, 2003, 226(2): 441-451.
16.	Elias D, Di Pietroantonio D, Gachot B, et al. Liver abscess after radiofrequency ablation of tumors in patients with a biliary tract procedure. Gastroenterol Clin Biol, 2006, 30(6-7): 823-827.
17.	Spies JB, Rosen RJ, Lebowitz AS. Antibiotic prophylaxis in vascular and interventional radiology: a rational approach. Radiology, 1988, 166(2): 381-387.
18.	Qian GJ, Wang N, Shen Q, et al. Efficacy of microwave versus radiofrequency ablation for treatment of small hepatocellular carcinoma: experimental and clinical studies. Eur Radiol, 2012, 22(9): 1983-1990.
19.	马宽生, 董家鸿. 射频消融治疗肝肿瘤的现状和展望. 中国微创外科杂志, 2002, 2(2): 79-81.
20.	李璟寰, 王艳红. 射频消融治疗肝癌研究概况. 中华临床医师杂志(电子版), 2013, 7(8): 3526-3530.
21.	Lei Z, Li J, Wu D, et al. Nomogram for preoperative estimation of microvascular invasion risk in hepatitis B virus-related hepatocellular carcinoma within the Milan criteria. JAMA Surg, 2016, 151(4): 356-363.
22.	Ikeda K, Osaki Y, Nakanishi H, et al. Recent progress in radiofrequency ablation therapy for hepatocellular carcinoma. Oncology, 2014, 87 Suppl 1: 73-77.
23.	Jian Xue, Hongbo Ni, Fan Wang, et al. Advances in locoregional therapy for hepatocellular carcinoma combined with immunotherapy and targeted therapy. J Interv Med, 2021, 4(3): 105-113.
24.	Fan ST, Liu CL. Anterior approach for major right hepatic resection. J Hepatobiliary Pancreat Surg, 2005, 12(5): 356-361.
25.	周俭, 樊嘉, 肖永胜. 肝细胞癌门静脉癌栓形成机制. 实用肿瘤杂志, 2009, 24(5): 425-428.
26.	Chai Y, Li K, Zhang C, et al. The short-term efficacy of no-touch radiofrequency ablation in treating cirrhosis-based small hepatocellular carcinoma. BMC Cancer, 2019, 19(1): 497. doi: 10.1186/s12885-019-5707-0.
27.	Xu EJ, Lv SM, Li K, et al. Immediate evaluation and guidance of liver cancer thermal ablation by three-dimensional ultrasound/contrast-enhanced ultrasound fusion imaging. Int J Hyperthermia, 2018, 34(6): 870-876.
28.	Wang X, Liu G, Chen S, et al. Combination therapy with PD-1 blockade and radiofrequency ablation for recurrent hepatocellular carcinoma: a propensity score matching analysis. Int J Hyperthermia, 2021, 38(1): 1519-1528.
29.	Feng X, Xu R, Du X, et al. Combination therapy with sorafenib and radiofrequency ablation for BCLC stage 0–B1 hepatocellular carcinoma: a multicenter retrospective cohort study. Am J Gastroenterol, 2014, 109(12): 1891-1899.

1. McGahan JP, Browning PD, Brock JM, et al. Hepatic ablation using bipolar radiofrequency electrocautery. Invest Radiol, 1990, 25(3): 267-270.
2. Rossi S, Fornari F, Pathies C, et al. Thermal lesions induced by 480 kHz localized current field in guinea pig and pig liver. Tumori, 1990, 76(1): 54-57.
3. Nault JC, Sutter O, Nahon P, et al. Percutaneous treatment of hepatocellular carcinoma: State of the art and innovations. J Hepatol, 2018, 68(4): 783-797.
4. 冯凯, 马宽生, 别平. 射频消融在肝细胞肝癌根治性治疗中的临床价值. 中国普外基础与临床杂志, 2014, 21(2): 150-155.
5. 中华人民共和国国家卫生健康委员会. 原发性肝癌诊疗指南(2022年版). 中华外科杂志, 2022, 60(4): 273-309.
6. Xu XL, Liu XD, Liang M, et al. Radiofrequency ablation versus hepatic resection for small hepatocellular carcinoma: Systematic review of randomized controlled trials with meta-analysis and trial sequential analysis. Radiology, 2018, 287(2): 461-472.
7. Elias D, Bonnet S, Honoré C, et al. Comparison between the minimum margin defined on preoperative imaging and the final surgical margin after hepatectomy for cancer: how to manage it? Ann Surg Oncol, 2008, 15(3): 777-781.
8. Jiang YQ, Wang ZX, Deng YN, et al. Efficacy of hepatic resection vs. radiofrequency ablation for patients with very-early-stage or early-stage hepatocellular carcinoma: A population-based study with stratification by age and tumor size. Front Oncol, 2019, 9: 113. doi: 10.3389/fonc.2019.00113.
9. 李玉民, 马臻, 陈昊. 原发性肝癌射频消融治疗. 中华肝脏外科手术学电子杂志, 2017, 6(5): 337-342.
10. 高恒军, 陈敏山. 原发性肝癌的射频消融治疗. 临床肝胆病杂志, 2012, 28(4): 249-252.
11. Omata M, Tateishi R, Yoshida H, et al. Treatment of hepatocellular carcinoma by percutaneous tumor ablation methods: Ethanol injection therapy and radiofrequency ablation. Gastroenterology, 2004, 127(5 Suppl 1): S159-S166.
12. Zhang K, Jiang L, Jia Z, et al. Radiofrequency ablation plus devascularization is the preferred treatment of hepatocellular carcinoma with esophageal varices. Dig Dis Sci, 2015, 60(5): 1490-1501.
13. Uchino K, Tateishi R, Wake T, et al. Radiofrequency ablation of liver tumors in patients on antithrombotic therapy: A case-control analysis of over 10 000 treatments. J Vasc Interv Radiol, 2021, 32(6): 869-877.
14. Kim H, Triplett D, Kauffman S, et al. Hepatic abscess: A rare presentation of sump syndrome after choledochojejunostomy. ACG Case Rep J, 2020, 7(8): e00447. doi: 10.14309/crj.0000000000000447.
15. Livraghi T, Solbiati L, Meloni MF, et al. Treatment of focal liver tumors with percutaneous radio-frequency ablation: complications encountered in a multicenter study. Radiology, 2003, 226(2): 441-451.
16. Elias D, Di Pietroantonio D, Gachot B, et al. Liver abscess after radiofrequency ablation of tumors in patients with a biliary tract procedure. Gastroenterol Clin Biol, 2006, 30(6-7): 823-827.
17. Spies JB, Rosen RJ, Lebowitz AS. Antibiotic prophylaxis in vascular and interventional radiology: a rational approach. Radiology, 1988, 166(2): 381-387.
18. Qian GJ, Wang N, Shen Q, et al. Efficacy of microwave versus radiofrequency ablation for treatment of small hepatocellular carcinoma: experimental and clinical studies. Eur Radiol, 2012, 22(9): 1983-1990.
19. 马宽生, 董家鸿. 射频消融治疗肝肿瘤的现状和展望. 中国微创外科杂志, 2002, 2(2): 79-81.
20. 李璟寰, 王艳红. 射频消融治疗肝癌研究概况. 中华临床医师杂志(电子版), 2013, 7(8): 3526-3530.
21. Lei Z, Li J, Wu D, et al. Nomogram for preoperative estimation of microvascular invasion risk in hepatitis B virus-related hepatocellular carcinoma within the Milan criteria. JAMA Surg, 2016, 151(4): 356-363.
22. Ikeda K, Osaki Y, Nakanishi H, et al. Recent progress in radiofrequency ablation therapy for hepatocellular carcinoma. Oncology, 2014, 87 Suppl 1: 73-77.
23. Jian Xue, Hongbo Ni, Fan Wang, et al. Advances in locoregional therapy for hepatocellular carcinoma combined with immunotherapy and targeted therapy. J Interv Med, 2021, 4(3): 105-113.
24. Fan ST, Liu CL. Anterior approach for major right hepatic resection. J Hepatobiliary Pancreat Surg, 2005, 12(5): 356-361.
25. 周俭, 樊嘉, 肖永胜. 肝细胞癌门静脉癌栓形成机制. 实用肿瘤杂志, 2009, 24(5): 425-428.
26. Chai Y, Li K, Zhang C, et al. The short-term efficacy of no-touch radiofrequency ablation in treating cirrhosis-based small hepatocellular carcinoma. BMC Cancer, 2019, 19(1): 497. doi: 10.1186/s12885-019-5707-0.
27. Xu EJ, Lv SM, Li K, et al. Immediate evaluation and guidance of liver cancer thermal ablation by three-dimensional ultrasound/contrast-enhanced ultrasound fusion imaging. Int J Hyperthermia, 2018, 34(6): 870-876.
28. Wang X, Liu G, Chen S, et al. Combination therapy with PD-1 blockade and radiofrequency ablation for recurrent hepatocellular carcinoma: a propensity score matching analysis. Int J Hyperthermia, 2021, 38(1): 1519-1528.
29. Feng X, Xu R, Du X, et al. Combination therapy with sorafenib and radiofrequency ablation for BCLC stage 0–B1 hepatocellular carcinoma: a multicenter retrospective cohort study. Am J Gastroenterol, 2014, 109(12): 1891-1899.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

How to do radiofrequency ablation for liver cancer

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