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Article: Duodenopleural fistula formation after percutaneous radiofrequency ablation for recurrent hepatocellular carcinoma

TitleDuodenopleural fistula formation after percutaneous radiofrequency ablation for recurrent hepatocellular carcinoma
Authors
Issue Date2007
PublisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#description
Citation
Asian Journal Of Surgery, 2007, v. 30 n. 4, p. 278-282 How to Cite?
AbstractRadiofrequency ablation (RFA) is a treatment option in the management of unresectable or recurrent hepatocellular carcinoma (HCC). It can be performed either through laparotomy or in a minimally invasive manner by percutaneous, laparoscopic of thoracoscopic routes. Percutaneous RFA is associated with reduced surgical trauma and thus can be performed in patients with significant comorbidities. The procedure can be repeated after short intervals for sequential ablation of multiple liver lesions. However, the associated risks should not be underestimated. This is the first report of a rare complication of duodenopleural fistula after percutaneous RFA of a recurrent subcapsular HCC. The risk of bowel perforation during the ablation of subcapsular HCC requires special attention, since only the position of the tip of the electrode, but not the zone of ablation, can be assessed accurately by imaging during the procedure. Our case demonstrated that there was leakage of bowel content from the duodenal injury site into the pleural cavity through the RFA track. Subsequent uncontrolled infection resulted in empyema thoracis and led to the death of the patient. © 2007 Elsevier. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/172953
ISSN
2015 Impact Factor: 0.912
2015 SCImago Journal Rankings: 0.427
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, FSen_US
dc.contributor.authorNg, KKen_US
dc.contributor.authorPoon, RTen_US
dc.contributor.authorYuen, Jen_US
dc.contributor.authorTso, WKen_US
dc.contributor.authorFan, STen_US
dc.date.accessioned2012-10-30T06:25:59Z-
dc.date.available2012-10-30T06:25:59Z-
dc.date.issued2007en_US
dc.identifier.citationAsian Journal Of Surgery, 2007, v. 30 n. 4, p. 278-282en_US
dc.identifier.issn1015-9584en_US
dc.identifier.urihttp://hdl.handle.net/10722/172953-
dc.description.abstractRadiofrequency ablation (RFA) is a treatment option in the management of unresectable or recurrent hepatocellular carcinoma (HCC). It can be performed either through laparotomy or in a minimally invasive manner by percutaneous, laparoscopic of thoracoscopic routes. Percutaneous RFA is associated with reduced surgical trauma and thus can be performed in patients with significant comorbidities. The procedure can be repeated after short intervals for sequential ablation of multiple liver lesions. However, the associated risks should not be underestimated. This is the first report of a rare complication of duodenopleural fistula after percutaneous RFA of a recurrent subcapsular HCC. The risk of bowel perforation during the ablation of subcapsular HCC requires special attention, since only the position of the tip of the electrode, but not the zone of ablation, can be assessed accurately by imaging during the procedure. Our case demonstrated that there was leakage of bowel content from the duodenal injury site into the pleural cavity through the RFA track. Subsequent uncontrolled infection resulted in empyema thoracis and led to the death of the patient. © 2007 Elsevier. All rights reserved.en_US
dc.languageengen_US
dc.publisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#descriptionen_US
dc.relation.ispartofAsian Journal of Surgeryen_US
dc.subject.meshCarcinoma, Hepatocellular - Surgeryen_US
dc.subject.meshCatheter Ablation - Adverse Effectsen_US
dc.subject.meshDuodenal Diseases - Etiologyen_US
dc.subject.meshFatal Outcomeen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIntestinal Fistula - Etiologyen_US
dc.subject.meshLiver Neoplasms - Surgeryen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeoplasm Recurrence, Local - Surgeryen_US
dc.subject.meshPleural Diseases - Etiologyen_US
dc.subject.meshRespiratory Tract Fistula - Etiologyen_US
dc.titleDuodenopleural fistula formation after percutaneous radiofrequency ablation for recurrent hepatocellular carcinomaen_US
dc.typeArticleen_US
dc.identifier.emailPoon, RT: poontp@hkucc.hku.hken_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityPoon, RT=rp00446en_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S1015-9584(08)60039-1-
dc.identifier.pmid17962132-
dc.identifier.scopuseid_2-s2.0-35748958461en_US
dc.identifier.hkuros139486-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-35748958461&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume30en_US
dc.identifier.issue4en_US
dc.identifier.spage278en_US
dc.identifier.epage282en_US
dc.identifier.isiWOS:000250689600009-
dc.publisher.placeHong Kongen_US
dc.identifier.scopusauthoridChan, FS=35239825500en_US
dc.identifier.scopusauthoridNg, KK=7403179075en_US
dc.identifier.scopusauthoridPoon, RT=7103097223en_US
dc.identifier.scopusauthoridYuen, J=7102620431en_US
dc.identifier.scopusauthoridTso, WK=7006905486en_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US

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