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Interstitial laser treatment of small hepatocarcinoma on cirrhosis without anesthesia: feasibility study

Tarantino, L.; Sordelli, I.; Parmeggiani, D.; Pisaniello, D.; Marzullo, E.; Di Marzo, M.; Santoriello, A.; Sperlongano, P.

I Suppli di Tumori Official Journal of Societa Italiana di Cancerologia . 4(3): S53

2005

ISSN/ISBN: 2283-5423
PMID: 16437899
Document Number: 590884
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. 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. 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. ILP under US guidance is feasible without any anesthesia in patients with small intraparenchymal HCC.

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