Practice guidelines for ultrasound-guided percutaneous microwave ablation for hepatic malignancy

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Sep 7, 2013 (publication date) through Jul 21, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Sep 7, 2013; 19(33): 5430-5438
Published online Sep 7, 2013. doi: 10.3748/wjg.v19.i33.5430

Table 1 Indications and check list for microwave ablation of hepatic malignancy

Curative therapy	Palliative therapy	Check list
Single nodule with a diameter < 5 cm	Lesion > 5 cm in diameter	Histocytologic diagnosis
Maximum of 3 nodules with a diameter < 3 cm	Multiple lesions	US features of nodule (blood, location and size)
Absence of portal vein cancerous thrombus	Suffering from a small extrahepatic tumor burden	CEUS, CT or MRI of liver (lesion number, size, blood and location, portal venous thrombosis )
No extrahepatic spread	Unsuitable for other modalities	Laboratory tests (routine, coagulation function, serum biochemical item and tumor markers)

US: Ultrasound; CEUS: Contrast-enhanced ultrasonography; CT: Computed tomography; MRI: Magnetic resonance imaging.

Table 2 Procedure-related complications for microwave ablation of hepatic malignancies

Study	Intraperitoneal bleeding	Bile duct injury	Colon perfo-ration	Liver abscess	Skin burn	Tumor seeding	Symptomatic pleural effusion	Perioperative mortality
Sakaguchi et al[4]	0.51%	0.26%	0.00%	0.26%	0.77%	0.00%	1.28%	0.00%
Martin et al[5]	0.00%	0.00%	0.00%	2.00%	0.00%	0.00%	0.00%	0.00%
Zhang et al[13]	0.00%	1.25%	0.00%	0.00%	0.00%	0.00%	0.63%	0.00%
Shibata et al[19]	0.00%	2.78%	0.00%	2.78%	2.78%	0.00%	0.00%	0.00%
Kuang et al[38]	0.00%	0.00%	1.11%	1.11%	0.00%	0.00%	2.22%	0.00%
Liang et al[40]	0.09%	0.18%	0.18%	0.44%	0.26%	0.44%	1.06%	0.18%
Yin et al[46]	0.92%	0.92%	0.00%	0.00%	0.92%	0.00%	3.67%	0.00%
Dong et al[63]	0.00%	0.00%	0.00%	0.00%	0.85%	0.00%	0.00%	0.00%
Iannitti et al[64]	0.00%	0.00%	0.00%	0.00%	3.45%	0.00%	0.00%	0.00%

Citation: Liang P, Yu J, Lu MD, Dong BW, Yu XL, Zhou XD, Hu B, Xie MX, Cheng W, He W, Jia JW, Lu GR. Practice guidelines for ultrasound-guided percutaneous microwave ablation for hepatic malignancy. World J Gastroenterol 2013; 19(33): 5430-5438
URL: https://www.wjgnet.com/1007-9327/full/v19/i33/5430.htm
DOI: https://dx.doi.org/10.3748/wjg.v19.i33.5430