Background : Usefulness of endoscopic microwave coagulation therapy (
E
-MCT) was examined in 27 patients with hepatocellular carcinoma (HCC).
Material and Methods : HCC was found in
8
patients with type
B
liver cirrhosis (LC), 16 patients with type C LC, and
3
patients with non
B
non C LC. Median tumor size was 23 mm (solitary lesion
22
, multiple
5
). Laparoscopic MCT was performed for
S2
-
6
lesion and thoracoscopic MCT for
S8
lesion under general anesthesia. Linear type ultrasonography was used in every case for monitoring lesion ant therapeutic effect.
Results : Complete tumor necrosis was obtained in 24 cases (
81
%) and local recurrence was found in
5
cases after the observation period of maximum 34 months. Pleural abscess, hemorrhage and hepatic infarction were found in
3
cases without serious outcome.
Conclusions : We conclude that
E
-MCT is quite promising therapy for surface type HCC in term of minimally invasive and curative procedure a time. It is important that sufficient marginal coagulation should be obtained.
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