Artificial Ascites in Radiofrequency Ablation for Liver Cancer
Abstract: Radio Frequency
Ablation (RFA) is one of the treatment modality for liver tumor either as
primary tumor as well as secondary malignancy. Occasionally, a good ablation
can’t be performed due to the tumor location. To assists the ablation in this
particular case, some fluid can be deposited inside the abdomen which is called
as artificial ascites. The aim of this study is to report and evaluate the
method of artificial ascites in RFA
Method: This was a case series study consist of 19 consecutive patients
that had been treated with ultrasound-guided RFA using artificial ascites from
2014 to 2017.
Results: Artificial ascites was successfully performed in all 19 patients
(100%) with total of 53 hepatocellular carcinoma (HCC) lesions in 34 RFA’s
sessions and tumor size ranges from 10mm to 50mm. Most of the tumors were
primary tumor (14/19). 9 patients had single tumor and 10 patients had multiple
tumors and most of the tumor were located in segment 5 (14/53). Artificial
ascites was performed using 5% dextrose in water (D/W) solution ranging from
500ml to 1500ml. No adverse effect occurred during and after the procedure.
Conclusion: Percutaneous RFA using artificial ascites technique was safe
and effective for treating HCC
Keywords: Artificial ascites;
hepatocelullar carcinoma; radiofrequency ablation
Author: Rino Alvani Gani
Journal Code: jpkedokterangg170396
