Surgical management of hemothorax after radiofrequency ablation for liver tumor

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  • 肝腫瘍に対するラジオ波焼灼術後に合併した血胸に対する手術5症例の検討

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Abstract

<p>Radiofrequency ablation for a liver tumor is a safe procedure and a massive hemothorax is a rare complication. Of 3,228 patients who received radiofrequency ablation for a liver tumor between 2006 and 2015, we encountered five who needed to undergo surgery for a massive hemothorax.</p><p>All five patients had liver cirrhosis and liver cancer. One patient had undergone transcatheter embolization of the intercostal artery, and two had received thoracocentensis before the operation. The approaches were thoracotomy in one, mini-thoracotomy in three, and complete videothoracoscopy-assisted surgery in one. Active bleeding was observed in one case. The site of bleeding was estimated in three, involving those in whom active bleeding was not observed.</p><p>There were the following complications: afterbleeding in one, transient liver disorder in three, and moderate pleural effusion in three. The median volume of total blood loss was 2,500 mL (1,160-3,190 mL) and blood transfusion was performed in all cases in the perioperative period. All patients were discharged in a good condition. Because of liver cirrhosis, we should pay close attention to perioperative management.</p>

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