Radiofrequency Ablation
This is a new technique that destroys liver tumors by heating them
to high temperatures (80 - 100 °C).Tumors up to 4 centimeters
(approximately 2 inches) in diameter can be effectively destroyed with
this technique.
The patient undergoing radiofrequency ablation receives IV sedation
and grounding pads are placed on the legs. A thin needle is inserted
into the tumor and electrical current is passed through the tip of the
needle which becomes very hot and destroys the tumor. The procedure
lasts 10 - 15 minutes and the patient goes home on the same day.The
majority of patients do not experience side effects and resume normal
activity the following day.
Initial clinical research has shown radiofrequency ablation to be
effective in controlling tumor growth in the liver.In Italy, 29
patients with 44 liver metastases were treated with radiofrequency
ablation. No complications occurredand complete necrosis occurred in
66% of patients. Eighty-nine percent of the patients survived 18
months. The ability of radiofrequency ablation to significantly
prolong life in patients with liver tumors is currently under
investigation. The Liver Tumor Service at Allegheny General Hospital
is participatingin a multi-center trial that is investigating the
clinical effectiveness of radiofrequency ablation.The electrical
generator and treatment needle are shown below.


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