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目的总结微波消融联合腔镜技术治疗肝癌的新进展。方法借助Pub Med和CNKI检索近年来国内外有关微波消融联合腔镜技术治疗肝癌的相关文献并进行复习、综述。结果腔镜引导下微波消融以及其联合肝切除、介入栓塞、新辅助化疗和二步肝切除能够拓展肝癌治疗的适应证,提高肿瘤治愈率,减少术中出血量和术后并发症发生,以及降低术后复发率。结论微波消融联合腔镜技术治疗肝癌创伤小,恢复快。合理使用多种技术手段治疗肝癌,能充分发挥多学科团队协作优势,有助于提高肝癌的治疗效果,延长患者的生存时间。
Objective To summarize the new progress of microwave ablation combined with endoscopy in the treatment of liver cancer. Methods PubMed and CNKI were used to search and review the relevant literature about microwave ablation and endoscopic treatment of hepatocellular carcinoma both at home and abroad in recent years. Results Microwave-assisted ablation combined with hepatectomy, interventional embolization, neoadjuvant chemotherapy and two-stage hepatectomy under endoscopic guidance could expand the indications for the treatment of hepatocellular carcinoma, improve the tumor cure rate, reduce intraoperative blood loss and postoperative complications, and Reduce postoperative recurrence rate. Conclusion Microwave ablation combined with endoscopy in the treatment of liver cancer trauma and rapid recovery. Reasonable use of a variety of techniques for the treatment of liver cancer, multi-disciplinary team can give full play to the advantages of collaboration, help to improve the therapeutic effect of liver cancer, prolong the survival time of patients.