Systemic inflammatory response syndrome after radiofrequency ablation of hepatic hemangioma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Shaohong ,  SUN Wenbing

Department of Hepatobiliary-Pancreatic-Splenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100043, P. R. China;

Corresponding author：

SUN Wenbing, Email: cyhswb@qq.com

Keywords：

hepatic hemangioma; radiofrequency ablation; systemic inflammatory response syndrome; mechanism; prevention and treatment

DOI：

10.7507/1007-9424.202205048

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Radiofrequency ablation for hepatic hemangioma is safe and effective, and can obtain the same curative effect as traditional surgical resection. For hepatic hemangiomas with large volume, abundant arterial blood supply and long ablation time, systemic inflammatory response syndrome (SIRS) often occurs after radiofrequency ablation, which can lead to injury or dysfunction of important organs. This paper systematically summarizes the mechanism, prevention and treatment of SIRS after radiofrequency ablation of hepatic hemangioma, so as to provide reference for improving the safety of radiofrequency ablation of hepatic hemangioma.

Citation： WANG Shaohong, SUN Wenbing. Systemic inflammatory response syndrome after radiofrequency ablation of hepatic hemangioma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(9): 1134-1138. doi: 10.7507/1007-9424.202205048 Copy

1.	Gao J, Fan RF, Yang JY, et al. Radiofrequency ablation for hepatic hemangiomas: A consensus from a Chinese panel of experts. World J Gastroenterol, 2017, 23(39): 7077-7086.
2.	中国医师协会外科医师分会肝脏外科医师委员会, 中华肝胆外科杂志编辑委员会. 肝血管瘤热消融治疗专家共识(2021版). 中华肝胆外科杂志, 2021, 27(12): 881-888.
3.	Farhat W, Ammar H, Said MA, et al. Surgical management of giant hepatic hemangioma: A 10-year single center experience. Ann Med Surg (Lond), 2021, 69: 102542. doi: 10.1016/j.amsu.2021.102542.
4.	王劭宏, 高君, 柯山, 等. 射频消融治疗肝脏巨大血管瘤的疗效及安全性. 中华普通外科杂志, 2014, 29(3): 172-176.
5.	Kong J, Gao R, Wu S, et al. Safety and efficacy of microwave versus radiofrequency ablation for large hepatic hemangioma: a multicenter retrospective study with propensity score matching. Eur Radiol, 2022, 32(5): 3309-3318.
6.	Wang S, Yang M, Yang X, et al. Endothelial pyroptosis underlies systemic inflammatory response following radiofrequency ablation of hepatic hemangiomas. Scand J Clin Lab Invest, 2019, 79(8): 619-628.
7.	Yang M, Yang X, Wang S, et al. HMGB1-induced endothelial cell pyroptosis is involved in systemic inflammatory response syndrome following radiofrequency ablaton of hepatic hemangiomas. Am J Transl Res, 2019, 11(12): 7555-7567.
8.	Yang X, Liu J, Yang MM, et al. Heme is involved in the systemic inflammatory response following radiofrequency ablation of hepatic hemangiomas. Eur J Gastroenterol Hepatol, 2020, 32(9): 1200-1206.
9.	van Tilborg AAJM, Dresselaars HF, Scheffer HJ, et al. RF ablation of giant hemangiomas inducing acute renal failure: A report of two cases. Cardiovasc Intervent Radiol, 2016, 39(11): 1644-1648.
10.	Wu S, Gao R, Yin T, et al. Complications of radiofrequency ablation for hepatic hemangioma: A multicenter retrospective analysis on 291 cases. Front Oncol, 2021, 11: 706619. doi: 10.3389/fonc.2021.706619.
11.	Gao J, Xu L, Yang MM, et al. A severe complication of myocardial dysfunction post radiofrequency ablation treatment of huge hepatic hemangioma: A case report and literature review. Open Med (Wars), 2019, 14: 398-402.
12.	Bauer M. The liver-gut-axis: initiator and responder to sepsis. Curr Opin Crit Care, 2022, 28(2): 216-220.
13.	Izzo F, Granata V, Grassi R, et al. Radiofrequency ablation and microwave ablation in liver tumors: an update. Oncologist, 2019, 24(10): e990-e1005. doi: 10.1634/theoncologist.2018-0337.
14.	Margraf A, Ludwig N, Zarbock A, et al. Systemic inflammatory response syndrome after surgery: mechanisms and protection. Anesth Analg, 2020, 131(6): 1693-1707.
15.	Chakraborty RK, Burns B. Systemic inflammatory response syndrome [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan [last update 2021 July 28]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547669/.
16.	Wang SH, Gao RZ, Zhao SC, et al. Safety and effectiveness of laparoscopic intratumoral resection facilitated by coagulation of giant hepatic hemangioma: a matched case-control study and literature review. Surg Endosc, 2022, 36(7): 5149-5159.
17.	Gao J, Ding X, Ke S, et al. Radiofrequency ablation in the treatment of large hepatic hemangiomas: a comparison of multitined and internally cooled electrodes. J Clin Gastroenterol, 2014, 48(6): 540-547.
18.	Ji J, Gao J, Zhao L, et al. Computed tomography-guided radiofrequency ablation following transcatheter arterial embolization in treatment of large hepatic hemangiomas. Medicine (Baltimore), 2016, 95(15): e3402. doi: 10.1097/MD.0000000000003402.
19.	Qu C, Liu H, Li XQ, et al. Percutaneous ultrasound-guided ‘three-step’ radiofrequency ablation for giant hepatic hemangioma (5-15 cm): a safe and effective new technique. Int J Hyperthermia, 2020, 37(1): 212-219.
20.	Wang Z, Tang X, Qi X, et al. Feasibility, safety, and efficacy of ultrasound-guided percutaneous microwave ablation for giant hepatic hemangioma. Int J Hyperthermia, 2018, 35(1): 246-252.
21.	Li X, An C, Liu F, et al. The value of 3D visualization operative planning system in ultrasound-guided percutaneous microwave ablation for large hepatic hemangiomas: a clinical comparative study. BMC Cancer, 2019, 19(1): 550. doi: 10.1186/s12885-019-5682-5.
22.	Gao J, Kong J, Ding XM, et al. Laparoscopic vs computerized tomography-guided radiofrequency ablation for large hepatic hemangiomas abutting the diaphragm. World J Gastroenterol, 2015, 21(19): 5941-5949.
23.	Gao J, Ji JS, Ding XM, et al. Laparoscopic radiofrequency ablation for large subcapsular hepatic hemangiomas: technical and clinical outcomes. PLoS One, 2016, 11(2): e0149755. doi: 10.1371/journal.pone.0149755.
24.	Ypsilantis P, Lambropoulou M, Anagnostopoulos C, et al. Pringle maneuver exacerbates systemic inflammatory response and multiple-organ injury induced by extended liver radiofrequency ablation. Hum Exp Toxicol, 2011, 30(11): 1855-1864.
25.	Wang S, Gao J, Yang M, et al. Intratumoral coagulation by radiofrequency ablation facilitated the laparoscopic resection of giant hepatic hemangioma: a surgical technique report of two cases. Oncotarget, 2017, 8(31): 52006-52011.
26.	Gao J, Ke S, Ding XM, et al. Radiofrequency ablation for large hepatic hemangiomas: initial experience and lessons. Surgery, 2013, 153(1): 78-85.

1. Gao J, Fan RF, Yang JY, et al. Radiofrequency ablation for hepatic hemangiomas: A consensus from a Chinese panel of experts. World J Gastroenterol, 2017, 23(39): 7077-7086.
2. 中国医师协会外科医师分会肝脏外科医师委员会, 中华肝胆外科杂志编辑委员会. 肝血管瘤热消融治疗专家共识(2021版). 中华肝胆外科杂志, 2021, 27(12): 881-888.
3. Farhat W, Ammar H, Said MA, et al. Surgical management of giant hepatic hemangioma: A 10-year single center experience. Ann Med Surg (Lond), 2021, 69: 102542. doi: 10.1016/j.amsu.2021.102542.
4. 王劭宏, 高君, 柯山, 等. 射频消融治疗肝脏巨大血管瘤的疗效及安全性. 中华普通外科杂志, 2014, 29(3): 172-176.
5. Kong J, Gao R, Wu S, et al. Safety and efficacy of microwave versus radiofrequency ablation for large hepatic hemangioma: a multicenter retrospective study with propensity score matching. Eur Radiol, 2022, 32(5): 3309-3318.
6. Wang S, Yang M, Yang X, et al. Endothelial pyroptosis underlies systemic inflammatory response following radiofrequency ablation of hepatic hemangiomas. Scand J Clin Lab Invest, 2019, 79(8): 619-628.
7. Yang M, Yang X, Wang S, et al. HMGB1-induced endothelial cell pyroptosis is involved in systemic inflammatory response syndrome following radiofrequency ablaton of hepatic hemangiomas. Am J Transl Res, 2019, 11(12): 7555-7567.
8. Yang X, Liu J, Yang MM, et al. Heme is involved in the systemic inflammatory response following radiofrequency ablation of hepatic hemangiomas. Eur J Gastroenterol Hepatol, 2020, 32(9): 1200-1206.
9. van Tilborg AAJM, Dresselaars HF, Scheffer HJ, et al. RF ablation of giant hemangiomas inducing acute renal failure: A report of two cases. Cardiovasc Intervent Radiol, 2016, 39(11): 1644-1648.
10. Wu S, Gao R, Yin T, et al. Complications of radiofrequency ablation for hepatic hemangioma: A multicenter retrospective analysis on 291 cases. Front Oncol, 2021, 11: 706619. doi: 10.3389/fonc.2021.706619.
11. Gao J, Xu L, Yang MM, et al. A severe complication of myocardial dysfunction post radiofrequency ablation treatment of huge hepatic hemangioma: A case report and literature review. Open Med (Wars), 2019, 14: 398-402.
12. Bauer M. The liver-gut-axis: initiator and responder to sepsis. Curr Opin Crit Care, 2022, 28(2): 216-220.
13. Izzo F, Granata V, Grassi R, et al. Radiofrequency ablation and microwave ablation in liver tumors: an update. Oncologist, 2019, 24(10): e990-e1005. doi: 10.1634/theoncologist.2018-0337.
14. Margraf A, Ludwig N, Zarbock A, et al. Systemic inflammatory response syndrome after surgery: mechanisms and protection. Anesth Analg, 2020, 131(6): 1693-1707.
15. Chakraborty RK, Burns B. Systemic inflammatory response syndrome [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan [last update 2021 July 28]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547669/.
16. Wang SH, Gao RZ, Zhao SC, et al. Safety and effectiveness of laparoscopic intratumoral resection facilitated by coagulation of giant hepatic hemangioma: a matched case-control study and literature review. Surg Endosc, 2022, 36(7): 5149-5159.
17. Gao J, Ding X, Ke S, et al. Radiofrequency ablation in the treatment of large hepatic hemangiomas: a comparison of multitined and internally cooled electrodes. J Clin Gastroenterol, 2014, 48(6): 540-547.
18. Ji J, Gao J, Zhao L, et al. Computed tomography-guided radiofrequency ablation following transcatheter arterial embolization in treatment of large hepatic hemangiomas. Medicine (Baltimore), 2016, 95(15): e3402. doi: 10.1097/MD.0000000000003402.
19. Qu C, Liu H, Li XQ, et al. Percutaneous ultrasound-guided ‘three-step’ radiofrequency ablation for giant hepatic hemangioma (5-15 cm): a safe and effective new technique. Int J Hyperthermia, 2020, 37(1): 212-219.
20. Wang Z, Tang X, Qi X, et al. Feasibility, safety, and efficacy of ultrasound-guided percutaneous microwave ablation for giant hepatic hemangioma. Int J Hyperthermia, 2018, 35(1): 246-252.
21. Li X, An C, Liu F, et al. The value of 3D visualization operative planning system in ultrasound-guided percutaneous microwave ablation for large hepatic hemangiomas: a clinical comparative study. BMC Cancer, 2019, 19(1): 550. doi: 10.1186/s12885-019-5682-5.
22. Gao J, Kong J, Ding XM, et al. Laparoscopic vs computerized tomography-guided radiofrequency ablation for large hepatic hemangiomas abutting the diaphragm. World J Gastroenterol, 2015, 21(19): 5941-5949.
23. Gao J, Ji JS, Ding XM, et al. Laparoscopic radiofrequency ablation for large subcapsular hepatic hemangiomas: technical and clinical outcomes. PLoS One, 2016, 11(2): e0149755. doi: 10.1371/journal.pone.0149755.
24. Ypsilantis P, Lambropoulou M, Anagnostopoulos C, et al. Pringle maneuver exacerbates systemic inflammatory response and multiple-organ injury induced by extended liver radiofrequency ablation. Hum Exp Toxicol, 2011, 30(11): 1855-1864.
25. Wang S, Gao J, Yang M, et al. Intratumoral coagulation by radiofrequency ablation facilitated the laparoscopic resection of giant hepatic hemangioma: a surgical technique report of two cases. Oncotarget, 2017, 8(31): 52006-52011.
26. Gao J, Ke S, Ding XM, et al. Radiofrequency ablation for large hepatic hemangiomas: initial experience and lessons. Surgery, 2013, 153(1): 78-85.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Systemic inflammatory response syndrome after radiofrequency ablation of hepatic hemangioma

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content