关键词: 腹腔镜, 射频消融, 肝癌

Abstract: 【Abstract】〓Objective〓To summarize up the clinical experience on treatment of liver cancer through laparoscopic radiofrequency ablation(LRFA). Methods〓A total of 26 cases were included in the study from October 2010 to March 2014. Of all patients with Child?鄄Pugh class A to B, the tumors were located in the liver Ⅲ,Ⅳ,Ⅴ,Ⅷ segments or diaphragm and adjacent gallbladder gastric cavity viscera,and had the size of 2.2 to11.0 cm in diameter with single lesion in 18 cases, multifocal lesion in 8 cases (a total of 39 lesions). Results〓The LRFA operation was successfully completed in all cases without transferring operation. Operation time was 12 to 112 min, the average of 48 min. The operative complications included ascites in 2 cases, pleural effusion in 1 case. No postoperative bleeding, liver function failure, bile duct injury happened. The ultrasound and CT scan findings showed tumor necrosis in 17 cases, partial liquefaction in four cases and portal venous tumor emboli. Conclusion LRFA has the advantages of easy operation and less complications, and is a selective surgery approach for liver cancer, especially for specific parts of the liver cancer.

Key words: Laparoscope, Radiofrequency ablation, Liver cancer