ArticleWorld journal of surgery2020
Microwave Thermoablation of Colorectal Liver Metastases Close to Large Hepatic Vessels Under Pringle Maneuver Minimizes the "Heat Sink Effect".
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 22 citations in OpenAlex.
- Machine learning-assisted monitoring of radiofrequency ablation in hepatic tumors using spectral traces.Abdominal radiology (New York) · 2026Article
- Application of laparoscopic liver surgery techniques in laparoscopic thermal ablation of liver tumors.BMC gastroenterology · 2025Article
- Predictive Factors of Local Recurrence after Colorectal Cancer Liver Metastases Thermal Ablation.Journal of imaging · 2023Article
- Three-dimensional assessment of vascular cooling effects on hepatic microwave ablation in a standardized ex vivo model.Scientific reports · 2022Article
- Microwave Ablation for Colorectal Liver Metastases: A Systematic Review and Pooled Oncological Analyses.Cancers · 2022Review
- Contemporary evidence on colorectal liver metastases ablation: toward a paradigm shift in locoregional treatment.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2022Article
- Image-Guided Ablation for Colorectal Liver Metastasis: Principles, Current Evidence, and the Path Forward.Cancers · 2021Review
- Perivascular vital cells in the ablation center after multibipolar radiofrequency ablation in an in vivo porcine model.Scientific reports · 2021Article
- Influence of interapplicator distance on multibipolar radiofrequency ablation during physiological and interrupted liver perfusion in an in vivo porcine model.Scientific reports · 2020Article
- Is there a place for microwave ablation under Pringle maneuver for perivascular colorectal liver metastases?: Reponse to " Laparoscopic liver resection for liver tumors in proximity to major vasculature: A single-center comparative study".European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2020Article
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10 authors at 1 institution in 1 country.
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Abstract
backgroundLiver resection and thermoablation are the mainstay of the surgical management of colorectal liver metastases (CRLM). The main limitation of thermoablation is the "heat-sink" effect for nodules next to large vessels. Herein, we report the preliminary results of microwave ablation (MWA) with associated Pringle maneuver to overcome this flaw.
methodsFrom November 2017, we performed intraoperative MWA with Pringle maneuver for nodules ≤3 cm with immediate proximity to large vessels (distance ≤ 5 mm, diameter ≥ 3 mm). We collected characteristics of nodules, surgical procedures and postoperative morbidity. Diameter of the ablation area, especially the ablative minimal margin, was calculated for each nodule. Recurrence was also evaluated.
resultsNineteen patients underwent MWA with Pringle maneuver for 23 nodules. Nineteen (83%) ablated nodules were located in segments VI, VII and VIII, and one nodule was in segment I. Median size of nodules was 15 mm (10-21). No deaths occurred. Six patients (38%) experienced complications, among them only one was subsequent to the thermal ablation. Ablative minimal margin was ≥5 mm for 19 (83%) nodules. Margin was not sufficient for four nodules, among them only 2/23 cases (8.7%) of in situ recurrence occurred after 12 months of median follow-up.
conclusionsIn this preliminary study, MWA with Pringle maneuver was associated with a low related morbidity rate and favorable oncological outcome, especially when the radiological minimal margin was sufficient.
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