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dc.contributor.authorNikfarjam, Mehrdaden
dc.contributor.authorChristophi, Christopheren
dc.identifier.citationThe British Journal of Surgery; 90(9): 1033-47en
dc.description.abstractPrimary hepatocellular carcinoma (HCC) and metastases from colorectal cancer are the most common malignant liver tumours. Surgical resection is the optimum treatment in suitable patients. Interstitial laser thermotherapy (ILT) is gaining acceptance for the treatment of irresectable liver tumours and as a potential alternative to surgery. An understanding of the principles of therapy and review of clinical outcomes may allow better use of this technology.An electronic search using the Medline database was performed for studies on the treatment of hepatic malignancy published between January 1983 and February 2003.Current information on the efficacy of ILT is based on prospective studies. ILT appears to be a safe and minimally invasive technique that consistently achieves tumour destruction. The extent of destruction depends on the fibre design, delivery system, tumour size and tumour biology. Real-time magnetic resonance imaging provides the most accurate assessment of laser-induced tumour necrosis. In selected patients with HCC and colorectal cancer liver metastases, ILT achieves complete tumour necrosis, provides long-term local control, and improves survival, compared with the natural history of the disease. In addition, ILT has survival benefits for patients with other tumour types, especially those with isolated liver metastases from a breast cancer primary.ILT improves overall survival in specific patients with liver tumours. Advances in laser technology and refinements in technique, and a better understanding of the processes involved in laser-induced tissue injury, may allow ILT to replace surgery as the procedure of choice in selected patients with liver malignancies.en
dc.subject.otherBreast Neoplasms.surgeryen
dc.subject.otherCarcinoma, Hepatocellular.surgeryen
dc.subject.otherColorectal Neoplasmsen
dc.subject.otherEquipment Designen
dc.subject.otherLaser Therapy.adverse effects.instrumentation.methodsen
dc.subject.otherLiver Neoplasms.secondary.surgeryen
dc.subject.otherMagnetic Resonance Imagingen
dc.subject.otherPatient Selectionen
dc.subject.otherRadiography, Interventionalen
dc.subject.otherSurvival Analysisen
dc.subject.otherUltrasonography, Interventionalen
dc.titleInterstitial laser thermotherapy for liver tumours.en
dc.typeJournal Articleen
dc.identifier.journaltitleThe British journal of surgeryen
dc.identifier.affiliationDepartment of Surgery, University of Melbourne, Austin Hospital, LTB 8, Studley Road, Heidelberg, Melbourne, Victoria 3084, Australiaen
dc.type.austinJournal Articleen
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
item.openairecristype (University of Melbourne)- Surgery-
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