抄録
Resectability of a liver tumor is influenced by the functional reserve of the liver, tumor size and location. In a case of severely limited functional reserve of the liver with a tumor close to the main vessels of the residual liver, successful resection of the tumor is not always possible. For such a situation percutaneous ethanol injection or percutaneous microwave coagulation therapy (MCT) have limited applicability a restricted application from the point of view of effect or safety. The indications of MCT can be expanded when performed laparotomy.
The present case report shows that effective and safe coagulation can be successfully performed after surgical isolation of the tumoral mass from the surrounding liver tissue with the unablated part of the tumor close to the vessel to be preserved and that the needle in the tumor should be maintained a distance of 7 of 8 mm from the vessel.