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Medical review You Local:Home > English > Medical review
The first successful percutaneous transhepatic tumor microwave ablation
 
                     Writer: Intervention Dept. Song Yang

                     Translator: PC Ma Xin

   Under the influence of the tumor size,location,liver function , patient’s economic ability to shoulder , only 25% patients accept the traditional liver cancer operation. With the rapid development of the liver cancer surgery in Intervention Dept. , 2 percutaneous transhepatic tumor microwave ablations was successful these days with the help of director Li Zhongwen ,  creating the pioneer of liver cancer surgery history in our city . 

   Patient , Deng Yunlin , male, 74 years old ,who had been undergone TACE for almost one month , was admitted to the hospital because the liver cancer was diagnosed with and will be treated by intervention. The patient lay on his back on CT examination bed to give the belly routine examine . After seeing an intrahepatic mixed density lesion , we confirmed the acupuncture points and path of the body surface , with ECG monitoring , subcutaneous injection of 10mg Morphine ,intravenous injection of 0.5 mg atropine before the operation. After the routine disinfection , laying down the sterile combes ,local infiltration anaesthesia , we put the acupuncture needle into the lesion through acupuncture points and paths.
Cut the skin minimally , insert the acupuncture needle into the cryocycle microwave , remove the fine acupuncture needle ,adjust the good position of the microwave coagulator under the guidance of CT, connect with the microwave therapy apparatus outside , adjust the parameter , ablated with microwave for about 10 minutes , dress the acupuncture point to complete the surgery. In a good state, the patient returned the ward safe and sound.

   Tumor microwave ablation , cryocycle microwave , under the guidance of ultrasound, is to insert directly the microwave ablation needle into the lesion . The heat energy radiated by microwave power made the tumor tissue here freezing , degenerating and permanently dead ,aiming at burning the tumor to death , with some advantages such as little trauma , few complications ,less pain ,fast recovery , low expense etc. The best indication for the operation : ① single tumor , with ≤5cm diameter ② multiple tumor , ≤3 tumors and maximum diameter ≤3 cm .  

   With the improvement of the microwave technology and constant accumulation of the clinical experience , “percutaneous transhepatic tumor microwave ablations under the ultrasonic guidance” of Intervention Dept. is bound to bring better news for the patients with liver cancer in Dandong . In addition , we have conducted the radiofrequency ablation of cancer recently , with expected postoperative results and high survival quality.   



 
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