Page 12 - WJOLS

Sherif Z Kotb et al

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TABLE 11: Relation between the survival and Child-Pugh et al reported that: major complications represent 2.2%. These
stage, size and number of primary tumor
included acute liver cell failure, intraperitoneal hemorrhage, and
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Items Number 24 months 24 months Hepatic abscesses. De Baere, et al reported that with radio-
Deaths Survival frequency ablations performed on 312 patients: Hepatic
Number of patients 60 28 32 abscesses occurred in 7 patients, despite the administration of
an extended antibiotic prophylaxis regimen.
= Child – Pugh
classification: In our study hospital mortality occurred in 4 (6.67%) patients
• A 16 4 (25%) 12 (75%) (all with PRFA). The fatalities were attributed to acute liver
• B 44 24 (54.55%) 20 (45.45%) failure. In a major study by De Baere, et al, the mortality rate
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= Tumor size:
• Less than 3 cm 12 2 (16.67%) 10 (83.33%) for the RF ablations of a total of 350 cases, was 1.6%. The
• 3 –5 cm 48 26 (54.17%) 22 (45.83%) fatalities were attributed to portal vein thrombosis, liver failure,
= Tumor number: and colonic perforation. The high rate of hospital mortality may
• Single 48 19 (39.58%) 29 (60.42%)
• Two 12 9 (75%) 3 (25%) be due to bad liver conditions.

Fig. 11: CT-before and after RFA (minor response)

Fig. 12: CT-before and after RFA (minor response)

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