Download PDF
Gastroenterologie up2date 2018; 14(01): 12-18
DOI: 10.1055/s-0043-121173
Schritt für Schritt
Georg Thieme Verlag KG Stuttgart · New York

Radiofrequenz- und Mikrowellen-Ablation von Lebertumoren – Schritt für Schritt

Stephan Clasen
,
Jakob Weiß
,
Rüdiger Hoffmann
Further Information

Publication History

Publication Date:
12 March 2018 (online)

Also available at
    Permissions and Reprints All articles of this category

Die lokale Tumortherapie mittels Thermoablation ist eine wichtige Therapieoption in der Behandlung von primären und sekundären Lebertumoren. Insbesondere die Radiofrequenz-Ablation (RFA) und die Mikrowellen-Ablation (MWA) sind weitverbreitete und effektive Techniken – ihre Anwendung wird in diesem Artikel beschrieben.

Schlüsselwörter

Radiofrequenzablation - Mikrowellenablation - Leber - hepatozelluläres Karzinom
 

  • Literatur

  • 1 Leitlinienprogramm Onkologie (Deutsche Krebsgesellschaft, Deutsche Krebshilfe, AWMF). Diagnostik und Therapie des hepatozellulären Karzinoms. Langversion 1.0 – Mai 2013, AWMF-Registrierungsnummer: 032/053OL. Im Internet: http://www.awmf.org/leitlinien/detail/ll/032-053OL.html Stand: 09.11.2017
    PubMedGoogle Scholar
  • 2 Bruix J, Sherman M. American Association for the Study of Liver Diseases. Management of hepatocellular carcinoma: an update. Hepatology 2011; 53: 1020-1022
    CrossrefPubMedGoogle Scholar
  • 3 Ruers T, Punt C, Van Coevorden F. et al. Radiofrequency ablation combined with systemic treatment versus systemic treatment alone in patients with non-resectable colorectal liver metastases: a randomized EORTC Intergroup phase II study (EORTC40004). Ann Oncol 2012; 23: 2619-2626
    CrossrefPubMedGoogle Scholar
  • 4 Tanis E, Nordlinger B, Mauer M. et al. Local recurrence rates after radiofrequency ablation or resection of colorectal liver metastases. Analysis of the European Organisation for Research and Treatment of Cancer #40004 and #40983. Eur J Cancer 2014; 50: 912-919
    CrossrefPubMedGoogle Scholar
  • 5 Van Cutsem E, Cervantes A, Adam R. et al. ESMO consensus guidelines for the management of patients with metastatic colorectal cancer. Ann Oncol 2016; 27: 1386-1422
    CrossrefPubMedGoogle Scholar
  • 6 Gillams A, Goldberg N, Ahmed M. et al. Thermal ablation of colorectal liver metastases: a position paper by an international panel of ablation experts, The Interventional Oncology Sans Frontières meeting 2013. Eur Radiol 2015; 25: 3438-3454
    CrossrefPubMedGoogle Scholar
  • 7 Livraghi T, Solbiati L, Meloni MF. et al. Treatment of focal liver tumors with percutaneous radio-frequency ablation: complications encountered in a multicenter study. Radiology 2003; 226: 441-451
    CrossrefPubMedGoogle Scholar
  • 8 Clasen S, Schmidt D, Boss A. et al. Multipolar radiofrequency ablation with internally cooled electrodes: experimental study in ex vivo bovine liver with mathematic modeling. Radiology 2006; 238: 881-890
    CrossrefPubMedGoogle Scholar
  • 9 Lubner MG, Brace CL, Hinshaw JL. et al. Microwave tumor ablation: mechanism of action, clinical results, and devices. J Vasc Interv Radiol 2010; 21 (8 Suppl): S192-S203
    CrossrefPubMedGoogle Scholar
  • 10 Brace CL, Laeseke PF, Sampson LA. et al. Microwave ablation with a single small-gauge triaxial antenna: in vivo porcine liver model. Radiology 2007; 242: 435-440
    CrossrefPubMedGoogle Scholar