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The review article by Sutherland et al¹ is a nice article for practicing hepatobiliary surgeons who are performing ablation therapy for malignant inoperable liver neoplasm. Currently, surgery is the only curative treatment for malignant liver neoplasm. Ablation therapy by various means is definitely acceptable palliative treatment for malignant liver neoplasm. The authors compared ablation therapy with various other methods of ablation, including surgery. I do not think that palliative ablation procedures can be compared with curative surgery. Again, the chemical ablation should not be compared with radiofrequency ablation (RFA) therapy, laser-induced thermotherapy, and microwave coagulation therapy.

The authors mentioned that RFA therapy controls disease in 96% of cases vs 89% for microwave coagulation therapy, and the presence of residual tumor in the RFA group is 35% vs 76% in the laser-induced thermotherapy group. However, there is no mention of a 5-year survival rate in this review article. Practicing hepatobiliary surgeons . . . [Full Text of this Article]

AUTHOR INFORMATION
M. Badruddoja, MD, FRCS, FRACS

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