Can Tumour Of Early Inchoate Liver Become Minimally Invasive Operation

Sep 15, 2022

There are many treatments for liver cancer

The current treatment methods for liver cancer include liver transplantation, hepatectomy, ablation, interventional therapy, targeted drugs, immunotherapy and so on.

Generally speaking, the early treatment of liver cancer is mainly resection or ablation surgery. Hepatectomy is a radical treatment, complete resection of the tumor, but the requirements for liver function are high.

Middle and advanced liver cancer is usually accompanied by intrahepatic and extrahepatic metastases, which cannot be resected by surgery, so liver transplantation can be considered. Liver transplantation is a radical treatment method, but it is known to all that there are problems such as huge cost and few liver donors. It is suitable for patients with poor liver function, coagulation function and inability to tolerate conventional surgical resection or ablation.

Liver transplantation is also contraindicated in the presence of extrahepatic metastases. Although some targeted drugs have some efficacy, their overall effect is limited.

There is a "world of difference" between small liver cancer (less than 3 cm in diameter) and advanced liver cancer. The 10-year survival rate after treatment can reach about 74%. If liver cancer is found early, minimally invasive treatment can be used.

The practice shows that ablation can achieve the same effect as surgery for "small liver cancer". Compared with resection surgery, the ablation cost is lower, the postoperative wound is smaller, and the hospital stay is shorter.

The most significant advantage of radiofrequency ablation is that the treatment of liver tumors is minimally invasive. The radiofrequency electrode needle only involves the maximum diameter of 5cm, and has little effect on the rest of the liver tissue. Especially for patients with severe cirrhosis, it is important to preserve the functional liver tissue as much as possible.

Therefore, for small hepatocellular carcinoma and multiple hepatocellular carcinoma, patients with severe cirrhosis who cannot tolerate surgical resection are more suitable. Patients with small response after treatment can be discharged from hospital after 1-2 days of observation in patients undergoing extracorporeal stimulation or laparoscopic radiofrequency therapy. Patients with small pain can return to normal life in a few days.

If liver tumor recurrences, the difficulty of reoperation is greatly increased. Another advantage of radiofrequency ablation is reflected, which can be performed repeatedly. Radiofrequency ablation has less trauma and less interference to the abdominal cavity, which reduces the difficulty of reoperation and recapitulates the chance of radical treatment.

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