[Interstitial laser treatment of small hepatocarcinoma on cirrhosis without
anesthesia: feasibility study].

Tarantino, L; Sordelli, I; Parmeggiani, Domenico; Pisaniello, D; Marzullo, E; Di Marzo, M; Santoriello, A; Sperlongano, Pasquale

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OBJECTIVE: We evaluated if interstitial laser photocoagulation (ILP) under ultrasound (US) guidance of intraparenchymal small HCC (<2 cm) in cirrhosis can be safely and effectively performed without any anesthesia. PATIENTS AND METHODS: Twelve cirrhotic patients with 14 nodules of HCC (diameter 1.2-2.0 cm; mean: 1.7) underwent ILP. All procedures were performed without local or general anesthesia. Necrosis of the nodules was evaluated with triphasic contrast-enhanced CT. RESULTS: Post-treatment CT showed complete necrosis in all cases. Pain occurred in 5 patients during the treatment was treated with iv pain-killer and only in 1 case the procedure was stopped before the scheduled time. No major complication occurred. CONCLUSIONS: ILP under US guidance is feasible without any anesthesia in patients with small intraparenchymal HCC.

Titolo:	[Interstitial laser treatment of small hepatocarcinoma on cirrhosis without anesthesia: feasibility study].
Autori:	Tarantino L Sordelli I PARMEGGIANI, Domenico Pisaniello D Marzullo E Di Marzo M Santoriello A SPERLONGANO, Pasquale mostra contributor esterni nascondi contributor esterni
Data di pubblicazione:	2005
Rivista:	TUMORI
Abstract:	OBJECTIVE: We evaluated if interstitial laser photocoagulation (ILP) under ultrasound (US) guidance of intraparenchymal small HCC (<2 cm) in cirrhosis can be safely and effectively performed without any anesthesia. PATIENTS AND METHODS: Twelve cirrhotic patients with 14 nodules of HCC (diameter 1.2-2.0 cm; mean: 1.7) underwent ILP. All procedures were performed without local or general anesthesia. Necrosis of the nodules was evaluated with triphasic contrast-enhanced CT. RESULTS: Post-treatment CT showed complete necrosis in all cases. Pain occurred in 5 patients during the treatment was treated with iv pain-killer and only in 1 case the procedure was stopped before the scheduled time. No major complication occurred. CONCLUSIONS: ILP under US guidance is feasible without any anesthesia in patients with small intraparenchymal HCC.
Handle:	http://hdl.handle.net/11591/185549
Appare nelle tipologie:	1.1 Articolo in rivista

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