Volume 7, Issue 5, October 2019, Page: 132-137
Laparoscopic Assisted Percutaneous Microwave Ablation for Hepatocellular Carcinoma Close to Large Hepatic Vessels
Mohamed Mogahed, Surgical Department, National Hepatology & Tropical Medicine Research Institute “NHTMRI”, Cairo, Egypt
Bahaa El Wakeel, Surgical Department, National Hepatology & Tropical Medicine Research Institute “NHTMRI”, Cairo, Egypt
Ashraf El Kholy, Surgical Department, National Hepatology & Tropical Medicine Research Institute “NHTMRI”, Cairo, Egypt
Wessam Moustafa Abdellatif, Radiology Department, National Hepatology & Tropical Medicine Research Institute “NHTMRI”, Cairo, Egypt
Ashraf Anas Zytoon, Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt
Mohamed Manaa, Tropical Medicine Department, National Hepatology & Tropical Medicine Research Institute “NHTMRI”, Cairo, Egypt
Nashwa Said Ghanem, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt
Received: May 13, 2019;       Accepted: Jun. 25, 2019;       Published: Aug. 29, 2019
DOI: 10.11648/j.js.20190705.14      View  428      Downloads  73
Background: Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide. It was believed that ablation for tumors close to large vessels should be avoided for the concern of major complications. Microwave ablation (MWA) seemed to be a better choice than radiofrequency ablation (RFA) in treating HCC close to large vessels (≥ 3 mm), for its advantages of a lower susceptibility to heat-sink effects (blood-vessel-mediated cooling), as well as the ability to achieve larger tumor volumes in shorter time. The aim of this study is to evaluate safety and efficacy of MWA for HCC close to large vessels. Methods: 32 patients with 52 HCC lesions were included, all patients have a lesion close to large vessel. 14 patients had single lesion, 16 had two lesions and 2 had three lesions. All patients are Child-Pugh A or B within Milan Criteria and class A disease Barcelona Clinic Liver Cancer (BCLC). Results: This study was conducted on 32 HCC patients 24 males and 8 females with median age 63 years. 32 HCC lesions were close to large vessel while 20 lesions were not close to large vessel. Laparoscopic assisted percutaneous MWA was decided as the treatment of choice for all patients. two patients (6%) had major complications (one patient had right portal vein thrombosis and the other patient had intra-hepatic hematoma), 3 patients (9%) had minor complications in the form of skin burn. Local tumor progression (LTP) occurred in 2 lesions (3.8% of lesions). Conclusion: laparoscopic assisted percutaneous MWA proved to be a safe and effective as a management for HCC close to large vessels.
Laparoscopic Assisted Percutaneous, Microwave Ablation, Hepatocellular Carcinoma
To cite this article
Mohamed Mogahed, Bahaa El Wakeel, Ashraf El Kholy, Wessam Moustafa Abdellatif, Ashraf Anas Zytoon, Mohamed Manaa, Nashwa Said Ghanem, Laparoscopic Assisted Percutaneous Microwave Ablation for Hepatocellular Carcinoma Close to Large Hepatic Vessels, Journal of Surgery. Vol. 7, No. 5, 2019, pp. 132-137. doi: 10.11648/j.js.20190705.14
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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