scholarly journals Superior long-term outcomes after surgery in child-pugh class a patients with single small hepatocellular carcinoma compared to radiofrequency ablation

2010 ◽  
Vol 5 (2) ◽  
pp. 722-729 ◽  
Author(s):  
Won Kyoung Yun ◽  
Moon Seok Choi ◽  
Dongil Choi ◽  
Hyun-Chul Rhim ◽  
Jae Won Joh ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Radiofrequency Ablation ◽  
Small Hepatocellular Carcinoma ◽  
Long Term Outcomes ◽  
Class A ◽  
Pugh Class

Small Hepatocellular Carcinoma: Radiofrequency Ablation versus Nonanatomic Resection—Propensity Score Analyses of Long-term Outcomes

Radiology ◽  
2015 ◽  
Vol 275 (3) ◽  
pp. 908-919 ◽  
Author(s):  
Tae Wook Kang ◽  
Jong Man Kim ◽  
Hyunchul Rhim ◽  
Min Woo Lee ◽  
Young-sun Kim ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Radiofrequency Ablation ◽  
Propensity Score ◽  
Small Hepatocellular Carcinoma ◽  
Long Term Outcomes ◽  
Nonanatomic Resection

scholarly journals Percutaneous Ablation for Hepatocellular Carcinoma: Comparison of Various Ablation Techniques and Surgery

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Shuichiro Shiina ◽  
Koki Sato ◽  
Ryosuke Tateishi ◽  
Motonori Shimizu ◽  
Hideko Ohama ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Radiofrequency Ablation ◽  
Microwave Ablation ◽  
Irreversible Electroporation ◽  
Percutaneous Ablation ◽  
Term Survival ◽  
Ethanol Injection ◽  
Class A ◽  
Pugh Class

Image-guided percutaneous ablation is considered best in the treatment of early-stage hepatocellular carcinoma (HCC). Ablation is potentially curative, minimally invasive, and easily repeatable for recurrence. Ethanol injection used to be the standard in ablation. However, radiofrequency ablation has recently been the most prevailing ablation method for HCC. Many investigators have reported that radiofrequency ablation is superior to ethanol injection, from the viewpoints of treatment response, local tumor curativity, and overall survival. New-generation microwave ablation can create a larger ablation volume in a shorter time period. Further comparison studies are, however, mandatory between radiofrequency ablation and microwave ablation, especially in terms of complications and long-term survival. Irreversible electroporation, which is a non-thermal ablation method that delivers short electric pulses to induce cell death due to apoptosis, requires further studies, especially in terms of long-term outcomes. It is considerably difficult to compare outcomes in ablation with those in surgical resection. However, radiofrequency ablation seems to be a satisfactory alternative to resection for HCC 3 cm or smaller in Child-Pugh class A or B cirrhosis. Furthermore, radiofrequency ablation may be a first-line treatment in HCC 2 cm or smaller in Child-Pugh class A or B cirrhosis. Various innovations would further improve outcomes in ablation. Training programs may be effective in providing an excellent opportunity to understand basic concepts and learn cardinal skills for successful ablation. Sophisticated ablation would be more than an adequate alternative of surgery for small- and possibly middle-sized HCC.

scholarly journals Radiofrequency Ablation Following Downstaging of Hepatocellular Carcinoma by Using Transarterial Chemoembolization: Long-term Outcomes

Radiology ◽  
2019 ◽  
Vol 293 (3) ◽  
pp. 707-715 ◽  
Author(s):  
Feng Shi ◽  
Ming Wu ◽  
Shan-Shan Lian ◽  
Zhi-Qiang Mo ◽  
Qing Gou ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Radiofrequency Ablation ◽  
Transarterial Chemoembolization ◽  
Long Term Outcomes
Sign in / Sign up

Export Citation Format

Share Document