Radiofrequency ablation for liver metastasis from gastric cancer

被引:50
作者
Chen, J. [1 ]
Tang, Z. [1 ]
Dong, X. [1 ]
Gao, S. [1 ]
Fang, H. [1 ]
Wu, D. [1 ]
Xiang, D. [1 ]
Zhang, S. [2 ]
机构
[1] Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Surg, Hangzhou 310009, Zhejiang, Peoples R China
[2] Zhejiang Univ, Sch Med, Affiliated Hosp 2, Dept Surg Oncol, Hangzhou 310009, Zhejiang, Peoples R China
来源
EJSO | 2013年 / 39卷 / 07期
关键词
Gastric cancer; Liver metastasis; Radiofrequency; HEPATIC RESECTION; HEPATOCELLULAR-CARCINOMA; COLORECTAL METASTASES; SURGICAL RESECTION; PROGNOSTIC-FACTORS; TUMORS; HEPATECTOMY; SURVIVAL; EXPERIENCE; RECURRENCE;
D O I
10.1016/j.ejso.2013.03.023
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aims: Several studies have reported the benefit of hepatic resection for metastatic tumor from gastric cancer. However, the value of treatment with radiofrequency ablation (RFA) has not been clearly defined. Methods: Between Jan 2002 and Dec 2007, 21 patients with primary gastric cancer were diagnosed with synchronous or metachronous liver metastases. All patients were treated with RFA, and the complication, survival, and recurrence rates were assessed. Results: The postoperative complication rate was 5% (1/21), with no mortality. The median actuarial survival time was 14 months. The 1-yr, 2-yr, 3-yr, and 5-yr survival rates after RFA were 70%, 11%, 5%, and 3%, respectively. With a median follow-up time of 19 months, local recurrence at the RFA site was 19% (4/21). Solitary metastasis had significantly longer survival than multiple lesions after RFA (22 vs 10 months, P = 0.004). Conclusions: RFA provides a minimally invasive and safe modality of treatment patients with liver metastasis from gastric cancer. Patients with solitary liver lesion were considered appropriate candidates for RFA. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:701 / 706
页数:6
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