caa a22 4500 467952795 CHVBK 20180405193744.0 cr unu---uuuuu 170328e20041101xx s 000 0 eng 10.1007/BF02637142 doi (NATIONALLICENCE)springer-10.1007/BF02637142 (NATIONALLICENCE)springer-10.1007/s00464-004-8110-z Transthoracic hepatic radiofrequency ablation [Elektronische Daten] [N. Lee, R. O'Rourke, J. Cheng, P. Hansen] Background: Radiofrequency ablation (RFA) is an alternative for the treatment of unresectable hepatic tumors. Tumors beneath the diaphragmatic dome may be difficult to access by laparoscopy. In these cases, a transthoracic transdiaphragmatic approach for delivering RFA can be used. Methods: Three patients with hepatic metastatic disease were treated using a transthoracic transdiaphragmatic approach to deliver RFA therapy for tumors in liver segments 7 and 8. The patients underwent thoracoscopy. The tumors were identified using transdiaphragmatic ultrasound, and transthoracic transdiaphragmatic RFA (TTRFA) was performed. Results: In three patients, TTRFA was successfully used to ablate five lesions. There were no perioperative complications, blood loss was minimal, and postoperative hospital stays ranged from 2 to 8 days. There were no recurrences during a follow-up period of 4 to 20 months. Conclusions: TTRFA is a viable alternative for hepatic tumors located beneath the dome of the diaphragm that are difficult to access by laparoscopy. Springer Science+Business Media, Inc, 2004 Transthoracic nationallicence Radiofrequency ablation nationallicence Laparoscopic nationallicence Transdiaphragmatic nationallicence Lee N. Oregon Health & Science, University Medical School, Portland, OR, USA aut O'Rourke R. Department of Surgery, Oregon Health and Science University, Portland, OR, USA aut Cheng J. Department of Minimally Invasive Surgery, Legacy Health System, 1040 NW 22 Avenue, Suite 120, Portland, OR, USA aut Hansen P. Department of Minimally Invasive Surgery, Legacy Health System, 1040 NW 22 Avenue, Suite 120, Portland, OR, USA aut Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1672-1674 0930-2794 18:11<1672 2004 18 464 https://doi.org/10.1007/BF02637142 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02637142 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lee N. Oregon Health & Science, University Medical School, Portland, OR, USA aut NATIONALLICENCE 700 1- O'Rourke R. Department of Surgery, Oregon Health and Science University, Portland, OR, USA aut NATIONALLICENCE 700 1- Cheng J. Department of Minimally Invasive Surgery, Legacy Health System, 1040 NW 22 Avenue, Suite 120, Portland, OR, USA aut NATIONALLICENCE 700 1- Hansen P. Department of Minimally Invasive Surgery, Legacy Health System, 1040 NW 22 Avenue, Suite 120, Portland, OR, USA aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1672-1674 0930-2794 18:11<1672 2004 18 464 NATIONALLICENCE 856 40 https://doi.org/10.1007/s00464-004-8110-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lee N. Oregon Health & Science University Medical School, Portland, Oregon aut NATIONALLICENCE 700 1- O'Rourke R. Department of Surgery, Oregon Health and Science University, Portland, Oregon aut NATIONALLICENCE 700 1- Cheng J. Department of Minimally Invasive Surgery, Legacy Health System, 1040 NW 22 Ave., Suite 120, Portland, Oregon aut NATIONALLICENCE 700 1- Hansen P. Department of Minimally Invasive Surgery, Legacy Health System, 1040 NW 22 Ave., Suite 120, Portland, Oregon aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1672-1674 0930-2794 18:11<1672 2004 18 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE NATIONALLICENCE NL-springer