The interventional treatment for hepatocellular carcinoma originating from the caudate lobe
-
摘要: 尾状叶肝癌是一种特殊部位肝癌,少见且治疗困难,既往其主要的治疗手段是手术切除。近年来尾状叶肝癌的介入治疗已取得显著进展,并获得较好疗效。简述了肝脏尾状叶的解剖特点和尾状叶肝癌的动脉血供特点,总结了经肝动脉化疗栓塞术和局部消融术治疗尾状叶肝癌的进展,认为联合应用介入方法治疗尾状叶肝癌的优势仍需进一步的临床验证。Abstract: Hepatocellular carcinoma( HCC) originating from the caudate lobe is a special- site HCC,which is rare and difficult to treat.The major therapeutic method in the past was surgical resection. In recent years,interventional treatment for HCC originating from the caudate lobe has achieved significant progress,and good therapeutic effect has been obtained. This paper briefly introduces the anatomic features of the caudate lobe and the features of blood supply in HCC originating from the caudate lobe,reviews the research advances in the therapeutic methods of transcatheter arterial chemoembolization and local ablation for HCC originating from the caudate lobe,and points out that a combination of interventional therapies for HCC originating from the caudate lobe needs to be further investigated in clinical practice.
-
Key words:
- liver neoplasms /
- chemoembolization,therapeutic /
- local ablation /
- therapy
-
[1]YAMAMOTO T,KUBO S,SHUTO T,et al.Surgical strategy for hepatocellular carcinoma originating in thecaudate lobe[J].Surgery,2004,135(6):595-603. [2]HUANG ZQ,ZHOU NX,HUANG XQ,et al.Caudate lobe surgery-the last field of liver surgery[J].J Dig Surg,2004,3(1):1-17.(in Chinese)黄志强,周宁新,黄晓强,等.尾状叶外科-肝外科的最后领域[J].消化外科,2004,3(1):1-17. [3]SAKAMOTO Y,NARA S,HATA S,et al.Prognosis of patients undergoing hepatectomy for solitary hepatocellular carcinoma originating in the caudate lobe[J].Surgery,2011,150(5):959-967. [4]TANAKA S,SHIMADA M,SHIRABE K,et al.Surgical outcome of patients with hepatocellular carcinoma originating in the caudate lobe[J].Am J Surg,2005,190(3):451-455. [5]PHILIPS P,FARMER RW,SCOGGINS CR,et al.Caudate lobe resections:a single-center experience and evaluation of factors predictive of outcomes[J].World J Surg Oncol,2013,11:220. [6]TERAYAMA N,MIYAYAMA Y,TATSU H,et al.Subsegmental transcatheter arterial embolization for hepatocellular carcinoma in the caudate lobe[J].J Vasc Interv Radiol,1998,9(3):501-508. [7]JOH DH,KIM JD,KIM YN,et al.A case of hepatocellular carcinoma in the caudate lobe successfully treated by transcatheter arterial chemoembolization using drug-eluting beads[J].Korean J Hepatol,2010,16(4):405-409. [8]KIM HC,CHUNG JW,JAE HJ,et al.Caudate lobe hepatocellular carcinoma treated with selective chemoembolization[J].Radiology,2010,257(1):278-287. [9]IBRAHIM SM,KULIK L,BAKER T,et al.Treating and downstaging hepatocellular carcinoma in the caudate lobe with yttrium-90 radioembolization[J].Cardiovasc Intervent Radiol,2012,35(5):1094-1101. [10]CHOI WS,KIM HC,HUR S,et al.Role of C-arm CT in identifying caudate arteries supplying hepatocellular carcinoma[J].J Vasc Interv Radiol,2014,25(9):1380-1388. [11]SHIBATA T,MAETANI Y,AMETANI F,et al.Efficacy of nonsurgical treatments for hepatocellular carcinoma in the caudate lobe[J].Cardiovasc Intervent Radiol,2002,25(3):186-192. [12]SEROR O,HADDAR D,N'KONTCHOU G,et al.Radiofrequency ablation for the treatment of liver tumors in the caudate lobe[J].J Vasc Interv Radiol,2005,16(7):981-990. [13]KARIYAMA K,NOUSO K,WAKUTA A,et al.Percutaneous radiofrequency ablation for treatment of hepatocellular carcinoma in the caudate lobe[J].AJR Am J Roentgenol,2011,197(4):w571-w575. [14]PENG ZW,LIANG HH,CHEN MS,et al.Percutaneous radiofrequency ablation for the treatment of hepatocellular carcinoma in the caudate lobe[J].Eur J Surg Oncol,2008,34(2):166-172. [15]JIANG K,ZHANG W,SU M,et al.Laparoscopic radiofrequency ablation of solitary small hepatocellular carcinoma in the caudate lobe[J].Eur J Surg Oncol,2013,39(11):1236-1242. [16]KUMON M.Anatomy of the caudate lobe with special reference to portal vein and bile duct[J].Acta Hepatol JPH,1985,26(1):1193-1199. [17]STAPLETON GN,HICKMAN R,TERBLANCHE J.Blood supply of the right and left hepatic ducts[J].Br J Surg,1998,85(2):202-207. [18]OSHIRO Y,SASAKI R,TAKEGUCHI T,et al.Analysis of the caudate artery with three-dimensional imaging[J].J Hepatobiliary Pancreat Sci,2013,20(6):639-646. [19]MIYAYAMA S,MATSUI O,KAMEYAMA T,et al.Angiographic anatomy of arterial branches to the caudate lobe of the liver with special reference to its effect on transarterial embolization of hepatocellular carcinoma[J].Rinsho Hoshasen,1990,35(3):353-359. [20]WANG HM,ZHAO Y,ZHANG JH,et al.Transcatheter arterial chemoembolization for hepatocellular carcinoma originating from the caudate lobe[J/CD].Chin J Clinicians:Electronic Edition,2012,6(4):1060-1061.(in Chinese)王华明,赵云,张军华,等.尾状叶肝癌的经导管肝动脉化疗栓塞治疗[J/CD].中华临床医师杂志:电子版,2012,6(4):1060-1061. [21]MIYAYAMA S,YAMASHIRO M,YOSHIE Y,et al.Hepatocellular carcinoma in the caudate lobe of the liver:variations of its feeding branches on arteriography[J].Jpn J Radiol,2010,28(8):555-562. [22]MIYAYAMA S,YAMASHIRO M,HATTORI Y,et al.Angiographic evaluation of feeding arteries of hepatocellular carcinoma in the caudate lobe of the liver[J].Cardiovasc Intervent Radiol,2011,34(6):1244-1253. [23]YOON CJ,CHUNG JW,CHO BH,et al.Hepatocellular carcinoma in the caudate lobe of the liver:angiographic analysis of tumorfeeding arteries according to subsegmental location[J].J Vasc Interv Radiol,2008,19(11):1543-1550. [24]WOO S,KIM H,CHUNG JW,et al.Chemoembolization of extrahepatic collateral arteries for treatment of hepatocellular carcinoma in the caudate lobe of the liver[J].Cardiovasc Intervent Radiol,2015,38(2):389-396. [25]TAKAYASU K,MURAMATSU Y,SHIMA Y,et al.Clinical and radiologic featuresof hepatocellular carcinoma originating in the caudate lobe[J].Cancer,1986,58(7):1557-1562. [26]XIE H,WANG H,AN W,et al.The efficacy of radiofrequency ablation combined with transcatheter arterial chemoembolization for primary hepatocellular carcinoma in a cohort of 487 patients[J].PLoS One,2014,9(2):e89081. [27]SU BB,GAO YZ,LI Z,et al.CT-guided radiofrequency ablation of the caudate lobe of liver cancer[J].J Aerospace Med,2014,25(10):1337-1338.(in Chinese)宿贝贝,高原智,李真,等.CT引导下肝尾叶肝癌的射频消融治疗[J].航空航天医学杂志,2014,25(10):1337-1338. [28]TANG Z,FANG HQ,WU YL,et al.Cool-tip radiofrequency ablation for treatment of tumors in the caudate lobe of the liver[J].Chin J Surg,2008,46(6):471-472.(in Chinese)唐喆,方河清,吴育连,等.冷循环射频消融治疗肝尾状叶肿瘤[J].中华外科杂志,2008,46(6):471-472. [29]YAMAKADO K,NAKATSUKA A,AKEBOSHI M,et al.Percutaneous radiofrequency ablation for the treatment of liver neoplasms in the caudate lobe left of the vena cava:electrode placement through the left lobe of the liver under CT-fluoroscopic guidance[J].Cardiovasc Intervent Radiol,2005,28(5):638-640. [30]ZHANG Y,LI YF,ZHAO W.Microwave ablation for treatment of hepatocellular carcinoma originating from the caudate lobe:a report of one case[J].Chin Hepatol,2010,15(6):413.(in Chinese)张毅,李一凡,赵炜.微波消融术治疗尾状叶肝癌1例[J].肝脏,2010,15(6):413. [31]DI MATTEO F,GRASSO R,PACELLA CM,et al.EUS-guided Nd:YAG laser ablation of a hepatocellular carcinoma in the caudate lobe[J].Gastrointest Endosc,2011,73(3):632-636. [32]SHEN Q,XUE HZ,CHU XH,et al.High-intensity focused ultrasound therapy for hepatocellular carcinoma on the caudate lobe:a preliminary report of the local efficacy[J].Guide China Med,2009,7(10):44-45.(in Chinese)申权,薛焕洲,褚学宏,等.高强度聚焦超声治疗尾状叶肝癌局部的疗效报道[J].中国医药指南,2009,7(10):44-45. [33]CHA CH,LEE FT Jr,GURNEY JM,et al.CT versus sonography for monitoring radiofrequency ablation in a porcine liver[J].AJR Am J Roentgenol,2000,175(3):705-711. [34]DI BENEDETTO F,TARANTINO G,MONTALTI R,et al.Laparoscopic radiofrequency ablation in the caudate lobe for hepatocellular carcinoma before liver transplantation[J].J Laparoendosc Adv Surg Tech A,2012,22(4):400-402. [35]CASSERA MA,POTTER KW,UJIKI MB,et al.Computed tomography(CT)-guided versus laparoscopic radiofrequency ablation:a single-institution comparison of morbidity rates and hospital costs[J].Surg Endosc,2011,25(4):1088-1095. [36]KIM HO,KIM SK,SON BH,et al.Intraoperative radiofrequency ablation with or without tumorectomy for hepatocellular carcinoma in locations difficult for a percutaneous approach[J].Hepatobiliary Pancreat Dis Int,2009,8(6):591-596. [37]NISHIGAKI Y,TOMITA E,HAYASHI H,et al.Efficacy and safety of radiofrequency ablation for hepatocellular carcinoma in the caudate lobe of the liver[J].Hepatol Res,2013,43(5):467-474. [38]FUJIMORI M,TAKAKI H,NAKATSUKA A,et al.Combination therapy of chemoembolization and radiofrequency ablation for the treatment of hepatocellular carcinoma in the caudate lobe[J].J Vasc Interv Radiol,2012,23(12):1622-1628.
本文二维码
计量
- 文章访问数: 2752
- HTML全文浏览量: 25
- PDF下载量: 465
- 被引次数: 0