肝部下大静脈に隣接した転移性肝腫瘍に対して，流入流出路血行遮断下，中肝静脈経由でopen MCTを施行して有効であった１症例 A case of open microwave coagulo-necrotic therapy (MCT) via the middle hepatic vein for metastatic liver tumor neighboring the paracaval portion
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We experienced a patient who underwent open MCT with the needle advanced via the middle hepatic vein for a metastatic liver tumor neighboring the paracaval portion. Open MCT was performed under hepatic inflow and outflow block to reduce the cooling effect by the blood flow. The operation was uneventfully performed, and no complications such as massive hemorrhage from middle hepatic vein, pulmonary infarction nor congestion in the drainage area of middle hepatic vein occurred. There was no evidence of local recurrence and other intrahepatic or extrahepatic metastases within 11 months after the operation. In conclusion, open MCT under hepatic inflow and outflow block is effective for tumors adjacent to a major hepatic vein. There was no complication when open MCT was performed by penetrating a major hepatic vein.
- Journal of Microwave Surgery
Journal of Microwave Surgery 19, 89-92, 2001
Study Group of Microwave Surgery