Abstract

Extensive liver resections are the main method of treatment of patients with primary and metastatic liver cancer, which allows the noticeable prolongation of life. In patients with a reduced functional reserve of the liver or a missing volume of the remaining liver parenchyma, these interventions become impossible because of the increased risk of postresectional acute hepatic insufficiency. One of the most modern and promising ways to overcome this obstacle is the use of minimally invasive methods of tumor destruction. This article presents two observations of the clinical application of the laser ablator “Echolaser X4”: open laser ablation of the metastatic focus with subsequent atypical liver resection and percutaneous laser ablation of the metastasis of the neuroendocrine tumor into the liver. The presented experience testifies to the justification of using laser destruction of metastatic malignant liver tumors and demonstrates the possibilities of laser thermoablation therapy in patients who can not perform radical surgical treatment.

Highlights

  • For citation Sidorov D.V., Stepanov S.O., Lozhkin M.V., Petrov L.O., Gutz O.V., Kostin A.A., Isaeva A.G. First Russian experience of using the integrated system of laser thermoablation therapy in the treatment of metastatic liver cancer

  • The authors of this article state that the study was conducted in the absence of any commercial or financial relationship that could be interpreted as a potential conflict of interest

  • Pacella CM, Bizzarri G, Francica G, Forlini G, Petrolati A, Valle D, et al Analysis of factors predicting survival in patients with hepatocellular carcinoma treated with percutaneous laser ablation

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Summary

Introduction

For citation Sidorov D.V., Stepanov S.O., Lozhkin M.V., Petrov L.O., Gutz O.V., Kostin A.A., Isaeva A.G. First Russian experience of using the integrated system of laser thermoablation therapy in the treatment of metastatic liver cancer. 100-107 D.V.Sidorov, S.O.Stepanov et al / First Russian experience of using the integrated system of laser thermoablation therapy in the treatment of metastatic liver cancer Echolaser X4 — совмещенная система, включающая в себя ультразвуковой аппарат и четырехканальный лазер, предназначенная для выполнения лазерной абляции под ультразвуковым контролем.

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Conclusion

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