腹腔镜超声引导下肝肿瘤射频消融治疗的研究进展

Advances in laparoscopic ultrasound guided radiofrequency ablation for treatment of liver tumor

射频消融治疗作为肝癌局部治疗的标准方法,可以达到与手术切除相似效果,且安全性更高(d≤3 cm)。针对无法根治性切除的晚期肝癌患者,射频消融治疗的疗效和安全性也均得到肯定,其中腹腔镜下肝肿瘤射频消融治疗应用广泛。本文总结了腹腔镜下肝肿瘤射频消融技术的应用现状、适应证、禁忌证、并发症及发生率、患者术后生存情况等,对这一新技术的研究和临床应用现状做一综述。

As a new standard topical treatment for primary liver cancer, radiofrequency ablation has achieved a similar effect and higher safety（d≤3 cm） when compared with surgical resection by a large number of clinical studies. For patients with advanced liver cancer that can not be resected radically, efficacy and safety of radiofrequency ablation are also confirmed. The emergence and application of laparoscopic ultrasound plays a very important role in radiofrequency ablation of liver tumors. This paper summarizes the application of laparoscopic radiofrequency ablation in liver tumors, its indications, contraindications, complications, and postoperative survival, etc, and recent researches and clinical applications about this new technology will also be reviewed.