弯曲形水冷微波消融针在腹腔镜下膈顶部肝细胞癌消融中的应用

目的探讨弯曲形水冷微波消融针在膈顶部肝细胞癌治疗的操作优势、安全性、有效性和效果评价。 方法选取2015年1月至2021年12月上海孟超肿瘤医院与中国医学科学院北京协和医学院肿瘤医院收治的膈顶部肝细胞癌患者作为研究对象，探讨弯曲形水冷微波消融针在腹腔镜下膈顶部肝细胞癌微波消融的操作优势、安全性和有效性。 结果弯曲形水冷微波消融针在膈顶部肝细胞癌的治疗与直形针相比，操作优势显著，避免了胸腔入路引起的气胸、胸腔感染、膈肌损伤、支气管胆管漏等并发症，安全有效。 结论弯曲形水冷微波消融针在膈顶部肝细胞癌的治疗中操作优势明显，安全、有效，值得在膈顶部肝细胞癌的操作中大力推广。

Research of curved water-cooled microwave ablation of diaphragmatic dome of HCC under laparoscopy

ObjectiveTo investigate the operation advantages , safety and effectiveness of curved water-cooled microwave ablation in the treatment of liver cancer on diaphragmatic dome. MethodsTo explore the advantages, safety and effectiveness of the curved water-cooled ablation for HCC on diaphragmatic dome admitted to Shanghai Mengchao Cancer Hospital and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College from Jan. 2015 to Dec. 2021. ResultsThe curved water-cooled ablation needle has significant advantages in the treatment of HCC on the dome of the diaphragm under laparoscopy. It avoids the complications such as pneumothorax, pleural infection, diaphragmatic injury and bronchial bile duct leakage caused by the thoracic approach. And it is safe and effective. ConclusionsThe curved water-cooled microwave ablation has obvious advantages in the treatment of HCC on the dome of the diaphragm, and it is safe and effective, which is worthy of promotion in the operation of HCC on the dome of the diaphragm.