Abstract

Microwave ablation is a well-established intervention for treating primary liver cancer and metastatic lesions. For tumors located at high-risk locations such as the hepatic dome, however, some interventional radiologists take great caution in procedural planning to avoid pleural/pulmonary transgression. No guideline suggests that the transpleural/transpulmonary approach should be avoided at all costs. In this study, we retrospectively reviewed the outcomes of 52 transpleural MWAs, evaluating its safety, pulmonary complication rate, and long-term efficacy using “lung seal technique“ for tract ablation.

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