微波除后的胃孔穿孔对邻近的肝细胞损伤进行了微波除
Kassem Sharif1,2,3, Adi Lahat1,3, Idan Levy1,3
1Department of Gastroenterology, Sheba Medical Center, Ramat Gan, Israel.
ACG case reports journal
|June 22, 2023
概括
肝癌的微波切除通常是安全的,但可能会带来风险. 这份病例报告详细介绍了肝细胞癌治疗后的胃穿孔并发症,强调了潜在的危险.
科学领域:
- 肝胆道医学 肝胆道医学
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 肝细胞癌 (HCC) 是一种主要的肝癌.
- 地方区域疗法为无法接受手术的患者提供了替代方案.
- 微波除 (MWA) 是一种常见的HCC的局部区域治疗方法.
研究的目的:
- 报告一种罕见的MWA对HCC的并发症.
- 突出与MWA相关的潜在风险.
- 为临床实践提供有关MWA安全性的信息.
主要方法:
- 一个77岁的肝硬化病患者的病例报告.
- 患者接受了三种HCC结节的MWA治疗.
- 剥离后成像和临床评估.
主要成果:
- 患者在MWA后12天内出现了前胃壁穿孔.
- 穿孔发生在左肝叶的废除部位附近.
- 手术干预导致了临床改善.
结论:
- 对于HCC的MWA可能与严重的并发症有关.
- 胃穿孔是一种潜在的,尽管很少见的风险.
- 谨慎的患者选择和监测对于MWA程序至关重要.
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