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Updated: Aug 13, 2026
Evaluation of the Feasibility, Safety, and Accuracy of an Intraoperative High-intensity Focused Ultrasound Device for Treating Liver Metastases
Published on: January 9, 2019
[Interstitial laser treatment of small hepatocarcinoma on cirrhosis without anesthesia: feasibility study]
L Tarantino1, I Sordelli, D Parmeggiani
1Dipartimento di Scienze Anestesiologiche, Chirurgiche e dell'Emergenza, V Divisione di Chirurgia Generale, Seconda Università degli Studi, Napoli.
Objective:
We evaluated if interstitial laser photocoagulation (ILP) under ultrasound (US) guidance of intraparenchymal small HCC (<2 cm) in cirrhosis can be safely and effectively performed without any anesthesia.
Patients And Methods:
Twelve cirrhotic patients with 14 nodules of HCC (diameter 1.2-2.0 cm; mean: 1.7) underwent ILP. All procedures were performed without local or general anesthesia. Necrosis of the nodules was evaluated with triphasic contrast-enhanced CT.
Results:
Post-treatment CT showed complete necrosis in all cases. Pain occurred in 5 patients during the treatment was treated with iv pain-killer and only in 1 case the procedure was stopped before the scheduled time. No major complication occurred.
Conclusions:
ILP under US guidance is feasible without any anesthesia in patients with small intraparenchymal HCC.
