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Z Gastroenterol 2015; 53(06): 579-590
DOI: 10.1055/s-0034-1399446
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Local ablative procedures of the liver

Lokal ablative Prozeduren in der Leber
C. F. Dietrich
1   Sino-German Research Center of Ultrasound in Medicine, The first Affiliated Hospital of Zhengzhou University, China
2   II. Medizinische Klinik, Caritas Krankenhaus, Bad Mergentheim, Germany
,
X. W. Cui
1   Sino-German Research Center of Ultrasound in Medicine, The first Affiliated Hospital of Zhengzhou University, China
2   II. Medizinische Klinik, Caritas Krankenhaus, Bad Mergentheim, Germany
,
L. Chiorean
1   Sino-German Research Center of Ultrasound in Medicine, The first Affiliated Hospital of Zhengzhou University, China
2   II. Medizinische Klinik, Caritas Krankenhaus, Bad Mergentheim, Germany
,
L. Appelbaum
3   Radiology Department, Hadassah Hebrew University Medical Center, Jerusalem, Israel
,
E. Leen
4   Imaging Department, Imperial College London, Hammersmith Hospital Campus, London, United Kingdom
,
A. Ignee
2   II. Medizinische Klinik, Caritas Krankenhaus, Bad Mergentheim, Germany
› Author Affiliations
Further Information

Publication History

22 September 2014

24 March 2015

Publication Date:
15 June 2015 (online)

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Abstract

Local ablative therapies have become an important part in the portfolio of treatment for patients with malignant tumors especially in the liver. Although percutaneous ethanol injection still plays a role, current guidelines favor radiofrequency ablation with a higher efficacy for complete tumor destruction. Nevertheless transplantation and surgical resection remain the gold standard due to their superiority in local control and improved survival. In this manuscript we discuss the technique in detail.

Zusammenfassung

Lokal ablative Therapieformen haben sich bei der Behandlung von Patienten mit bösartigen Tumorerkrankungen der Leber etabliert. Obwohl die Alkoholinjektionstherapie immer noch weltweit eine große Rolle spielt, hat sich die Radiofrequenzthermoablation gegenüber der Alkoholinjektion und anderen Injektionsstrategien durchgesetzt. Dies liegt insbesondere an der größeren Chance zur kompletten Tumordestruktion. Transplantation und chirurgische Resektion müssen als Goldstandard vor Durchführung von lokal ablativen Verfahren ausreichend geprüft werden. In dem hier vorliegenden Manuskript diskutieren wir das Indikationsspektrum und Technik der Radiofrequenzthermoablation.

Schlüsselwörter

Leber - hepatozelluläres Karzinom - Nierenzellkarzinom - Metastase - Ablation - Richtlinien - Interventionen - Komplikation

Key words

liver - hepatocellular carcinoma - renal cell cancer - metastasis - ablation - guidelines - intervention - complication
 

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