Background/Aims: In this report, the feasibility and efficacy of laparoscop
ic radiofrequency interstitial thermal ablation of hepatocellular carcinoma
has been evaluated in 20 patients.
Methodology: The laparoscopic approach with the use of intraoperative ultra
sonography allowed us to obtain additional information regarding liver nodu
les and a complete treatment of the liver lesions.
Results: The complication rate was low and there was no operative mortality
. A complete necrosis has been obtained in 90% of the cases at 1 month dyna
mic computed tomography following the treatment.
Conclusions: Laparoscopic radiofrequency thermal ablation of hepatocellular
carcinoma proved to be a safe and effective technique; its use may be prop
osed in selected patients. Larger series are needed to accurately assess it
s role among the other ablative therapies of hepatocellular carcinoma.