Interstitial laser thermotherapy for liver tumours
10.1002/bjs.4326
Crossref journal-article
Oxford University Press (OUP)
British Journal of Surgery (286)
Abstract

Abstract Background Primary hepatocellular carcinoma (HCC) and metastases from colorectal cancer are the most common malignant liver tumours. Surgical resection is the optimum treatment in suitable patients. Interstitial laser thermotherapy (ILT) is gaining acceptance for the treatment of irresectable liver tumours and as a potential alternative to surgery. An understanding of the principles of therapy and review of clinical outcomes may allow better use of this technology. Method An electronic search using the Medline database was performed for studies on the treatment of hepatic malignancy published between January 1983 and February 2003. Results Current information on the efficacy of ILT is based on prospective studies. ILT appears to be a safe and minimally invasive technique that consistently achieves tumour destruction. The extent of destruction depends on the fibre design, delivery system, tumour size and tumour biology. Real-time magnetic resonance imaging provides the most accurate assessment of laser-induced tumour necrosis. In selected patients with HCC and colorectal cancer liver metastases, ILT achieves complete tumour necrosis, provides long-term local control, and improves survival, compared with the natural history of the disease. In addition, ILT has survival benefits for patients with other tumour types, especially those with isolated liver metastases from a breast cancer primary. Conclusion ILT improves overall survival in specific patients with liver tumours. Advances in laser technology and refinements in technique, and a better understanding of the processes involved in laser-induced tissue injury, may allow ILT to replace surgery as the procedure of choice in selected patients with liver malignancies.

Bibliography

Nikfarjam, M., & Christophi, C. (2003). Interstitial laser thermotherapy for liver tumours. British Journal of Surgery, 90(9), 1033–1047.

Authors 2
  1. M Nikfarjam (first)
  2. C Christophi (additional)
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Dates
Type When
Created 22 years ago (Aug. 25, 2003, 9:11 a.m.)
Deposited 4 years, 1 month ago (July 9, 2021, 5:12 p.m.)
Indexed 11 months, 2 weeks ago (Sept. 11, 2024, 11:06 p.m.)
Issued 22 years ago (Aug. 22, 2003)
Published 22 years ago (Aug. 22, 2003)
Published Online 22 years ago (Aug. 22, 2003)
Published Print 22 years ago (Aug. 22, 2003)
Funders 0

None

@article{Nikfarjam_2003, title={Interstitial laser thermotherapy for liver tumours}, volume={90}, ISSN={1365-2168}, url={http://dx.doi.org/10.1002/bjs.4326}, DOI={10.1002/bjs.4326}, number={9}, journal={British Journal of Surgery}, publisher={Oxford University Press (OUP)}, author={Nikfarjam, M and Christophi, C}, year={2003}, month=aug, pages={1033–1047} }