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Thermal Ablation for the Treatment of Abdominal Tumors

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[APPLICATION OF RADIOFREQUENCY ABLATION WHILE PERFORMANCE OF VIDEOTHORACOSCOPIC OPERATIONS FOR PULMONARY AND PLEURAL

V E Severgin, P P Shipulin, S A Prokhoda

Klinichna Khirurhiia

|September 29, 2018

Summary

Radio-frequency ablation (RFA) via videothoracoscopic operations (VTHO) showed positive outcomes in 54 patients with lung cancer and pleural effusion. This minimally invasive approach offers a viable treatment option for select patients.

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Area of Science:

Thoracic Surgery
Oncology
Minimally Invasive Procedures

Background:

Radio-frequency ablation (RFA) is an emerging technique for treating thoracic conditions.
Videothoracoscopic operations (VTHO) offer a minimally invasive approach to thoracic surgery.
Lung cancer and malignant pleural effusion present significant clinical challenges.

Purpose of the Study:

To evaluate the efficacy and safety of RFA in VTHO for patients with primary or metastatic lung cancer and malignant pleural effusion.
To assess the outcomes in patients unsuitable for radical surgical intervention.

Main Methods:

RFA was performed using VTHO in 56 patients.
Patient cohort included primary lung cancer (n=7), metastatic lung cancer (n=12), and malignant pleural effusion (n=37).
Histological subtypes included small-cell, squamous-cell, and glandular lung cancer.

Main Results:

Positive treatment results were achieved in 54 out of 56 patients.
Average duration of pleural drainage was 3 days, with an average hospital stay of 4 days.
Survival data showed promising results, with 25 patients with metastatic pleurisy surviving over 9 months.

Conclusions:

VTHO with RFA is a potentially effective and minimally invasive treatment for selected patients with lung cancer and malignant pleural effusion.
The procedure demonstrates favorable short-term outcomes regarding recovery time.
Further long-term follow-up is necessary to fully ascertain the late outcomes of this therapeutic approach.