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A Comparison of Percutaneous Cryosurgery and Percutaneous Radiofrequency for Unresectable Hepatic Malignancies—Invited Critique
Jack Pickleman, MD
Chicago, Ill
Arch Surg. 2002;137:1340.
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There is near unanimity that the preferable treatment of hepatocellular carcinoma or metastatic disease to the liver is operative removal. However, at least three fourths of such patients have contraindications to major hepatic resection, because of either patient factors or local characteristics of the tumor (eg, size, number, location, and the presence of concomitant cirrhosis or extrahepatic disease).
This report from the highly experienced liver group in Villejuif, France, continues their quest in seeking new ways to manage this difficult group of patients. One has to admire their tenacity over the years in taking on this challenge; they clearly are in step with their countrymen who believe that the liver represents the seat of the human soul and accordingly is to be granted special consideration.
In looking at the 64 patients in the present study, more than half have undergone a prior unsuccessful liver resection, nearly half . . . [Full Text of this Article]
RELATED ARTICLE
A Comparison of Percutaneous Cryosurgery and Percutaneous Radiofrequency for Unresectable Hepatic Malignancies
René Adam, Ellen J. Hagopian, Marcelo Linhares, Jinane Krissat, Eric Savier, Daniel Azoulay, Francis Kunstlinger, Denis Castaing, and Henri Bismuth
Arch Surg. 2002;137(12):1332-1339.
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