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ORANGE EKSTRAKLASA



Dołączył: 21 Lut 2011
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Skąd: England

PostWysłany: Pią 7:30, 11 Mar 2011  

Laparoscopic surgery in the treatment of superficial Percutaneous microwave ablation of liver cancer


Flow, some lesions enhance or not enhance the echo. Observation and treatment-related complications and liver function changes. 2 month after the results of 2.113 lesions by ultrasonography and enhanced CT or enhanced MRI review, the focus was no blood flow and strengthen the region, two lesions were visible one month after a little review of the district focus and strengthen the blood flow signal , a second treatment, one month after the lesion review and strengthen the region no blood flow signal. 10 patients are alive, the survival period of between 3 to 22 months, are still being followed up. 2.2 MCT treatment response and complications of laparoscopic treatment, the tumor can be seen darkening the surface of yellow, variable deflated collapse, no bleeding puncture needle point. L0 cases of patients after treatment, body temperature, generally occurs in the postoperative 2-7d, fluctuations in body temperature 38.0-38.5 ℃, provide symptomatic relief after treatment, considering the absorption heat. 8 patients had varying degrees of postoperative transaminase elevation, review again after 1 week and 7 were normal,[link widoczny dla zalogowanych], and 1 case a month later returned to preoperative levels. Was no rupture of the liver, bile leakage and serious complications such as tumor growing, and no treatment-related deaths. Follow-up 1 patient died after 2 months,[link widoczny dla zalogowanych], mainly because of liver failure. Hepatic coma and gastrointestinal bleeding. 3 to discuss the mechanism of microwave induced fever inside and outside the cells in the body fluid, containing a large number of ions and water and polar molecules such as proteins, in the microwave field that is under the effect of alternating electric field, the occurrence of polarization rotation, or vibration and heat. Comparison with other local heating and microwave local hyperthermia high thermal efficiency, balance, stability,[link widoczny dla zalogowanych], and little affected by factors that highlight the advantages of interventional treatment of liver cancer which is the first factor to be considered [, ultrasound-guided percutaneous microwave coagulation clinical treatment of liver cancer treatment of liver cancer is a new technology. However, microwave treatment of superficial liver cancer liver capsule at high temperature microwave antenna head, a long time hampered the use of high-power treatment, but also easy to burn the skin and cause abdominal adhesions, superficial treatment of liver cancer is not appropriate. Laparoscopic surgery Percutaneous microwave ablation for the treatment of superficial cancer. To overcome these shortcomings,[link widoczny dla zalogowanych], intraoperative positioning accurate, intuitive, increases security, making a wider range of application of microwave treatment. The use of intraoperative ultrasound guidance, can be set directly to the microwave antenna for human arterial lesions rich region. Block, the destruction of their blood supply. Is most effective. However,[link widoczny dla zalogowanych], with increasing tumor diameter, especially in large irregular tumor, located in the edge of liver parenchyma near the gallbladder, hepatic portal, large blood vessels near the tumor, it is easy to kill tumor cells blank so incomplete. Reach the desired therapeutic purposes. When the blood supply of tumors in vivo, because blood can take away some of the energy of leaders within the tumor would lead to increased frequency of treatment, reduce treatment efficacy. 2 lesions were reviewed one month after lesion necrosis, need a second treatment can be completely inactivated tumor. Laparoscopic surgery Percutaneous microwave ablation for the treatment of superficial skin to avoid liver, abdominal wall and normal liver tissue burns, the more power and longer time to create the conditions of microwave treatment, most lesions to achieve an overall inactivation of the basic tumor purposes. Laparoscopic surgery Percutaneous microwave ablation for the treatment of superficial hepatocellular carcinoma embodied the concept of minimally invasive surgery, that The so-called best to preserve the body, including how to maximize preservation of functional tissue, minimizing the impact on immune function. Minimize induced by treatment of residual tumor growth promoting factors. Laparoscopic intraoperative ultrasound ablation for the treatment of superficial microwave intervention will undoubtedly have a huge liver cancer development potential, but needs to clear bulk cases of long-term follow its long-term efficacy.


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