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World J Gastroenterol. Oct 21, 2017; 23(39): 7077-7086
Published online Oct 21, 2017. doi: 10.3748/wjg.v23.i39.7077
Radiofrequency ablation for hepatic hemangiomas: A consensus from a Chinese panel of experts
Jun Gao, Rui-Fang Fan, Jia-Yin Yang, Yan Cui, Jian-Song Ji, Kuan-Sheng Ma, Xiao-Long Li, Long Zhang, Chong-Liang Xu, Xin-Liang Kong, Shan Ke, Xue-Mei Ding, Shao-Hong Wang, Meng-Meng Yang, Jin-Jin Song, Bo Zhai, Chun-Ming Nin, Shi-Gang Guo, Zong-Hai Xin, Jun Lu, Yong-Hong Dong, Hua-Qiang Zhu, Wen-Bing Sun
Jun Gao, Shan Ke, Xue-Mei Ding, Shao-Hong Wang, Meng-Meng Yang, Wen-Bing Sun, Department of Hepatobiliary Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100043, China
Rui-Fang Fan, Department of Hepatobiliary Surgery, Lanzhou General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu Province, China
Jia-Yin Yang, Center of Liver Transplantation, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Yan Cui, Department of General Surgery, the 306th Hospital of Chinese People’s Liberation Army, Beijing 100012, China
Jian-Song Ji, Jin-Jin Song, Department of Radiology, Lishui Central Hospital, The Fifth Affiliated Hospital of Wenzhou Medical College, Wenzhou 32300, Zhejiang Province, China
Kuan-Sheng Ma, Institute of Hepatobiliary Surgery, Southwest Hospital, The Third Military Medical University, Chongqing 400038, China
Xiao-Long Li, Long Zhang, Department of General Surgery, Affiliated Hospital of Chifeng University, Chifeng 024000, Inner Mongolia Autonomous Region, China
Chong-Liang Xu, Xin-Liang Kong, Department of Hepatobiliary Surgery, Rizhao People’s Hospital, Rizhao 276801, Shandong Province, China
Bo Zhai, Department of Tumor Intervention, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
Chun-Ming Nin, Shi-Gang Guo, Department of General Surgery, Chaoyang Central Hospital, Chaoyang 122000, Liaoning Province, China
Zong-Hai Xin, Department of General Surgery, Zhanhua People’s Hospital, Zhanhua 256800, Shandong Province, China
Jun Lu, Hua-Qiang Zhu, Department of General Surgery, Shandong Provincial People’s Hospital, Jinan 250021, Shandong Province, China
Yong-Hong Dong, Department of General Surgery, Shanxi Provincial People’s Hospital, Taiyuan 032200, Shanxi Province, China
Author contributions: Gao J and Sun WB performed the research and wrote the paper; Fan RF, Yang JY, Cui Y, Ji JS, Ma KS, Li XL, Zhang L, Xu CL, Kong XL, Ke S, Ding XM, Wang SH, Yang MM, Song JJ, Zhai B, Nin CM, Guo SG, Xin ZH, Lu J, Dong YH and Zhu HQ contributed to the critical revision of the manuscript for important intellectual content.
Supported by National Natural Science Foundation of China, No. 81502650, No. 81572957, No. 81573657, No. 30872490 and No. 81172320; the Program for High-level Technical Talents in Beijing Health System, No. 2015-03-025 and No. 2009-03-11; and Dr. Wu Jie-Ping Medical Foundation, No. 320675007131 and No. 32067501207.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Wen-Bing Sun, MD, Department of Hepatobiliary Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University, No. 5, Jingyuan Street, Beijing 100043, China. sunwenbing@bjcyh.com
Telephone: +86-10-51718372 Fax: +86-10-51718017
Received: July 30, 2017
Peer-review started: July 30, 2017
First decision: August 29, 2017
Revised: September 13, 2017
Accepted: September 19, 2017
Article in press: September 19, 2017
Published online: October 21, 2017
Processing time: 84 Days and 0.4 Hours
Abstract

Recent studies have shown that radiofrequency (RF) ablation therapy is a safe, feasible, and effective procedure for hepatic hemangiomas, even huge hepatic hemangiomas. RF ablation has the following advantages in the treatment of hepatic hemangiomas: minimal invasiveness, definite efficacy, high safety, fast recovery, relatively simple operation, and wide applicability. It is necessary to formulate a widely accepted consensus among the experts in China who have extensive expertise and experience in the treatment of hepatic hemangiomas using RF ablation, which is important to standardize the application of RF ablation for the management of hepatic hemangiomas, regarding the selection of patients with suitable indications to receive RF ablation treatment, the technical details of the techniques, therapeutic effect evaluations, management of complications, etc. A final consensus by a Chinese panel of experts who have the expertise of using RF ablation to treat hepatic hemangiomas was reached by means of literature review, comprehensive discussion, and draft approval.

Keywords: Hepatic hemangiomas; Radiofrequency ablation; Consensus

Core tip: Recent studies have shown that radiofrequency (RF) ablation therapy is a safe, feasible, and effective procedure for hepatic hemangiomas. It is necessary to formulate a widely accepted consensus among the experts in China who have extensive expertise and experience in the treatment of hepatic hemangiomas using RF ablation, which is important to standardize the application of RF ablation for the management of hepatic hemangiomas.