J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 762KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 94(4): 359-365, 1993

Original article

INVESTIGATION OF MICROWAVE COAGULO-NECROTIC THERAPY FOR 21 PATIENTS WITH SMALL HEPATOCELLULAR CARCINOMA LESS THAN 5 CM IN DIAMETER

1) Second Department of Surgery, School of Medicine, Kurume University, Kurume, Japan
2) Department of Surgery, National Kurume Hospital, Kurume, Japan

Hideki Saitsu1), Yuji Mada1), Satoru Taniwaki1), Koji Okuda1), Toshimichi Nakayama1), Kiroku Oishi1), Koji Yoshida2)

Microwave coagulo-necrotic therapy (MCN) was performed in 21 patients with small hepatocellular carcinoma less than 5cm in diameter and this therapeutic method was determined to be effective from the following results. 1) A marked low density area was seen in the region receiving the therapy and no enhanced findings were observed by enhanced CT one month postoperatively. 2) Recurrence appeared in 5 patients (23.8%) and only one patient died 1 year and 6 months after the operaiton. However, the other 20 patients survived for a maximum of 3 years and 2 months postoperatively. 3) The levels of total bilirubin and GOT in these patients were similar to those of patients who underwent hepatectomy.
However, the levels of prothrombin time and hepaplatin test in patients with MCN changed less than in those who received hepatectomy. 4) Tendency of the renal failure was seen in 2 patients, and the other 19 patients did not have any complication postoperatively.

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