Radiofrequency thermal ablation of pancreatic tumours: anaesthetic protection and post-operative period (first experience)
Abstract
The paper provides the retrospective analysis of medical histories of 11 patients undergone radiofrequency thermal ablation of pancreatic tumours and highlights the importance of the combined anaesthesia (low-flow inhalation anaesthesia with Sevoflurane with an epidural analgesic component) and the continuous post-operative epidural analgesia with three-phase mixture (Ropivakaine, Fentanyl, and Adrenaline).
About the Authors
A. G. Kozhanov
Far Eastern District Medical Centre of the Federal Medical Biological Agency
Russian Federation
Russian Federation
K. V. Maystrovskiy
Far Eastern District Medical Centre of the Federal Medical Biological Agency
Russian Federation
Russian Federation
S. A. Sotnichenko
Far Eastern District Medical Centre of the Federal Medical Biological Agency
Russian Federation
Russian Federation
A. A. Polezhaev
Vladivostok State Medical University
Russian Federation
Russian Federation
E. V. Serebryakova
Far Eastern District Medical Centre of the Federal Medical Biological Agency
Russian Federation
Russian Federation
A. E. Tarasov
Far Eastern District Medical Centre of the Federal Medical Biological Agency
Russian Federation
Russian Federation
References
1. Vorotyncev S.I., Goldovskij B.M., Potalov S.A. i dr. The multimodal combined anesthesia during operations on the pancreas, Medicina neotlozhnyh sostojanij. 2009. No. 2. P. 95-98.
2. Jareshko V.G., Zhivica S.G. The use of radiofrequency thermoablation in the treatment of tumors liver and pancreas, Ukraïns’kij zhurnal hirurgiï. 2011. No. 2. P. 209-211.
3. Girelly R., Frigerio I., Salvia R. Feasibility and safety of RFA for locally advanced pancreatic cancer, Br. J. Surg. 2010. No. 97. P. 220-225.
4. Hadjicostas P., Malakounides N., Varianos C. et. al. Radiofrequency ablation in pancreatic cancer, HPB Surgery. 2006. No. 8 (1). P. 61-64.
5. Pezzilli R., Ricci C., Casadei R. et al. Radiofrequency ablation of pancreatic cancer: a new attractive approach or another unsuccesful technique for the treatment of pancreatic adenocarcinoma? A systematic review, Cancer Therapy. 2008. Vol. 6. P. 741-744.
6. Spiliotis J. Commentary on pancreatic carcinoma: The role of radiofrequency ablation in advanced disease, Cancers. 2010. No. 2. P. 2055-2057.
7. Spiliotis T., Datsis A., Michalopoulos N. RFA combined with palliative surgery may prolongs survival of patients with advanced cancer of the pancreas, Langenbecks Arch. Surg. 2007. No. 392. P. 55-60.
8. Van Aken H. Thoracic epidural anesthesia and analgesia and outcome. Southern Africa Journal of Anaesthesia and Analgesia. 2008. No. 14 (1). P. 19-20.
Review
For citations:
Kozhanov A.G., Maystrovskiy K.V., Sotnichenko S.A., Polezhaev A.A., Serebryakova E.V., Tarasov A.E. Radiofrequency thermal ablation of pancreatic tumours: anaesthetic protection and post-operative period (first experience). Pacific Medical Journal. 2012;(3):91-94. (In Russ.)
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