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Erschienen in: CardioVascular and Interventional Radiology 7/2019

08.04.2019 | Technical Note

Hydrodissection of the Gallbladder Bed: A Technique for Ablations Located Close to the Gallbladder

verfasst von: Julien Garnon, Guillaume Koch, Jean Caudrelier, Nitin Ramamurthy, Pierre Auloge, Roberto Luigi Cazzato, Afshin Gangi

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 7/2019

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Abstract

Objective

To report the technique of hydrodissection of the gallbladder bed, in order to separate the gallbladder wall from the liver surface during microwave ablation of liver malignancies located in segment V.

Materials and Methods

Between January 2018 and March 2018, percutaneous hydrodissection of the gallbladder fossa was performed during four microwave ablation procedures in three patients (One patient was treated twice for the same lesion, making a total of four procedures for three lesions.) All treated lesions were located in segment V and abutting the gallbladder. Number of hydrodissection needles, volume of hydrodissection, repartition of hydrodissection, separation of tumour from the gallbladder post-hydrodissection, technical success of hydrodissection/ablation, and complications were recorded and evaluated.

Results

Hydrodissection of the gallbladder fossa was technically feasible in all four procedures, and microwave ablation was performed at maximum power without any early interruption. Time to perform hydrodissection was 11.3 min on average (range 7–18 min). Minimal distance between the ablation area and the GB increased from virtual to 10 mm on average (range 6–13), with a mean volume of dissection of 65 ml (range 40–100). Technical success was 75%. There was no complication related to the hydrodissection itself, and no acute or delayed gallbladder complication.

Conclusion

Hydrodissection of the gallbladder bed is a feasible technique to separate the gallbladder from the liver surface. This could potentially decrease the risk of thermal injuries to the gallbladder wall when ablating tumours located in segment V.
Literatur
2.
Zurück zum Zitat Chopra S, Dodd GD III, Chanin MP, Chintapalli KN. Radiofrequency ablation of hepatic tumours adjacent to the gallbladder: feasibility and safety. AJR Am J Roentgenol. 2003;180(3):697–701.CrossRefPubMed Chopra S, Dodd GD III, Chanin MP, Chintapalli KN. Radiofrequency ablation of hepatic tumours adjacent to the gallbladder: feasibility and safety. AJR Am J Roentgenol. 2003;180(3):697–701.CrossRefPubMed
5.
Zurück zum Zitat Akahane M, Koga H, Kato N, Yamada H, et al. Complications of percutaneous radiofrequency ablation for hepato-cellular carcinoma: imaging spectrum and management. Radiographics. 2005;25(Suppl 1):S57–68.CrossRef Akahane M, Koga H, Kato N, Yamada H, et al. Complications of percutaneous radiofrequency ablation for hepato-cellular carcinoma: imaging spectrum and management. Radiographics. 2005;25(Suppl 1):S57–68.CrossRef
7.
Zurück zum Zitat Livraghi T, Solbiati L, Meloni MF, Gazelle GS, et al. Treatment of focal liver tumours with percutaneous radiofrequency ablation: complications encountered in a multicenter study. Radiology. 2003;226(2):441–51.CrossRefPubMed Livraghi T, Solbiati L, Meloni MF, Gazelle GS, et al. Treatment of focal liver tumours with percutaneous radiofrequency ablation: complications encountered in a multicenter study. Radiology. 2003;226(2):441–51.CrossRefPubMed
11.
Zurück zum Zitat Campbell C, Lubner MG, Hinshaw JL, Muñoz del Rio A, et al. Contrast media-doped hydrodissection during thermal ablation: optimizing contrast media concentration for improved visibility on CT images. AJR Am J Roentgenol. 2012;199(3):677–82.CrossRefPubMedPubMedCentral Campbell C, Lubner MG, Hinshaw JL, Muñoz del Rio A, et al. Contrast media-doped hydrodissection during thermal ablation: optimizing contrast media concentration for improved visibility on CT images. AJR Am J Roentgenol. 2012;199(3):677–82.CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Jones MW, Bhimji SS. Anatomy, abdomen and pelvis, gallbladder. Treasure Island: StatPearls Publishing; 2018. Jones MW, Bhimji SS. Anatomy, abdomen and pelvis, gallbladder. Treasure Island: StatPearls Publishing; 2018.
14.
Zurück zum Zitat Nemcek AA Jr, Bernstein JE, Vogelzang RL. Percutaneous cholecystostomy: does transhepatic puncture preclude a transperitoneal catheter route? J Vasc Interv Radiol. 1991;2(4):543–7.CrossRefPubMed Nemcek AA Jr, Bernstein JE, Vogelzang RL. Percutaneous cholecystostomy: does transhepatic puncture preclude a transperitoneal catheter route? J Vasc Interv Radiol. 1991;2(4):543–7.CrossRefPubMed
Metadaten
Titel
Hydrodissection of the Gallbladder Bed: A Technique for Ablations Located Close to the Gallbladder
verfasst von
Julien Garnon
Guillaume Koch
Jean Caudrelier
Nitin Ramamurthy
Pierre Auloge
Roberto Luigi Cazzato
Afshin Gangi
Publikationsdatum
08.04.2019
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 7/2019
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-019-02218-5

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