Skip to main content
SpringerLink
Log in
Book cover

Basics of Cryosurgery pp 117–150Cite as

Abdominal Cryosurgery

  • Chapter

  • 201 Accesses

Abstract

Foremost among the most important areas in which cryosurgery is used are primary and secondary curative and inoperable liver tumors. Liver cryosurgery is a new method of treatment, in which the tumorous lesion is ablated in situ by means of a cryosurgical instrument. In recent years a new path has opened up for patients with liver tumors thanks to cryosurgery. No more than 25% of patients with an isolated liver tumor have conventional surgery. Of these, 20–35% achieve 5-year survival.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Korpan NN, Zharkov JV, Sacher R. A morphological study of cooling rate response in normal animal liver tissue: Cryosurgical Implications. Europ J Clin Invest 1999; 29 (Suppl 1): 22.

    Google Scholar 

  2. Adam R, Akpinar E, Johann M, Kunstlinger F, Majno P, Bismuth H. Place of Cryosurgery in the Treatment of Malignant Liver Tumors. Ann Surg 1997; 225 (1): 39–50.

    Article  PubMed  CAS  Google Scholar 

  3. Korpan NN. Hepatic Cryosurgery for Liver Metastases. Long-Term Follow-Up. Ann Surg 1997; 225 (2): 193–201.

    Article  CAS  Google Scholar 

  4. Gage AA, Baust J. Mechanisms of tissue injury in cryosurgery. Cryobiology 1998; 37 (3): 171–186.

    Article  PubMed  CAS  Google Scholar 

  5. McKinnon G, Temple WJ, Wiseman DA, Saliken JC. Cryosurgery for malignant tumors of the liver. Can J Surg 1996; 39 (5): 401–406.

    PubMed  CAS  Google Scholar 

  6. Korpan NN, Hochwarter G. Pancreatic cryosurgery — a new surgical procedure for pancreatic cancer. Eur J Clin Invest 1997; 27 (Suppl 1): A33.

    Google Scholar 

  7. Korpan NN. The use of low temperatures in oncology. In: The low temperatures in medicine (Ed. Ternovoi KS, Gassanov LG) 145–162 (Naukova Dumka, Kyiv, 1988).

    Google Scholar 

  8. Korpan NN. Möglichkeiten und Grenzen der modernen Kryochirurgie. In: Was gibt es Neues in der Medizin. Medizinisches Jahrbuch (Ed. Neugebauer H.), 207–213 (Dr. Peter Müller Verlag-Wien, 1996).

    Google Scholar 

  9. Healey WV, Priebe CJ, Jr., Farrer SM, Phillips LL. Hepatic cryosurgery. Acute and long-term effects. Arch Surg 1971; 103 (3): 384–392.

    Article  PubMed  CAS  Google Scholar 

  10. Dutta P, Montes M, Gage AA. Experimental hepatic cryosurgery. Cryobiology 1977; 14 (5): 598–608.

    Article  PubMed  CAS  Google Scholar 

  11. Dutta P, Montes M, Gage AA. Large volume freezing in experimental hepatic cryosurgery. Avoidance of bleeding in hepatic freezing by an improvement in the technique. Cryobiology 1979; 16(1): 50–55.

    Article  PubMed  CAS  Google Scholar 

  12. Ravikumar TS, Steele G, Jr., Kane R, King V. Experimental and clinical observations on hepatic cryosurgery for colorectal metastases. Cancer Res 1991; 51(23 Pt 1): 6323–6327.

    Google Scholar 

  13. Sarantou T, Bilchik A, Ramming KP. Complications of hepatic cryosurgery. Semin Surg Oncol 1998; 14 (2): 156–162.

    Article  PubMed  CAS  Google Scholar 

  14. Bilchik AJ, Sarantou T, Foshag LJ, Giuliano AE, Ramming KP. Cryosurgical palliation of metastatic neuroendocrine tumors resistant to conventional therapy. Surgery 1997; 122 (6): 1040–1047.

    Article  PubMed  CAS  Google Scholar 

  15. Seifert JK, Morris DL. Prognostic factors after cryotherapy for hepatic metastases from colorectal cancer. Ann Surg 1998; 228 (2): 201–208.

    Article  PubMed  CAS  Google Scholar 

  16. Onik GM, Chambers N, Chernus SA, Zemel R, Atkinson D, Weaver ML. Hepatic cryosurgery with and without the Bair Hugger. J Surg Oncol 1993; 52 (3): 185–187.

    Article  PubMed  CAS  Google Scholar 

  17. Cady B, Jenkins RL, Steele GD, Jr., Lewis WD, Stone MD, McDermott WV et al. Surgical margin in hepatic resection for colorectal metastasis: a critical and improvable determinant of outcome. Ann Surg 1998; 227 (4): 566–571.

    Article  PubMed  CAS  Google Scholar 

  18. Seifert JK, Morris DL. World survey on the complications of hepatic and prostate cryotherapy. World J Surg 1999; 23 (2):109–113.

    Article  PubMed  CAS  Google Scholar 

  19. Yeh KA, Fortunato L, Hoffman JP, Eisenberg BL. Cryosurgical ablation of hepatic metastases from colorectal carcinomas. Am Surg 1997; 63 (1): 63–68.

    PubMed  CAS  Google Scholar 

  20. Berney T, Mentha G, Roth AD, Morel P. Results of surgical resection of liver metastases from non-colorectal primaries. Br J Surg 1998; 85 (10): 1423–1427.

    Article  PubMed  CAS  Google Scholar 

  21. Weaver ML, Ashton JG, Zemel R. Treatment of colorectal liver metastases by cryotherapy. Semin Surg Oncol 1998; 14 (2): 163–170.

    Article  PubMed  CAS  Google Scholar 

  22. Silverstein JC, Staren E, Velasco J. Thermal bile duct protection during liver cryoablation. J Surg Oncol 1997; 64 (2): 163–164.

    Article  PubMed  CAS  Google Scholar 

  23. Frank JL, Navab F, Ly K, Reed WP, Jr. Hemobilia complicating hepatic cryosurgery. J Surg Oncol 1998; 67 (2): 130–133.

    Article  PubMed  CAS  Google Scholar 

  24. Cozzi PJ, Englund R, Morris DL. Cryotherapy treatment of patients with hepatic metastases from neuroendocrine tumors. Cancer 1995; 76 (3): 501–509.

    Article  PubMed  CAS  Google Scholar 

  25. Stewart GJ, Preketes A, Horton M, Ross WB, Morris DL. Hepatic cryotherapy: double-freeze cycles achieve greater hepatocellular injury in man. Cryobiology 1995; 32 (3): 215–219.

    Article  PubMed  CAS  Google Scholar 

  26. Blackwell TS, Debelak JP, Venkatakrishnan A, Schot DJ, Harley DH, Pinson CW et al. Acute lung injury after hepatic cryoablation: correlation with NF-kappa B activation and cytokine production. Surgery 1999; 126 (3): 518–526.

    Article  PubMed  CAS  Google Scholar 

  27. Seifert JK, Junginger T, Morris DL. A collective review of the world literature on hepatic cryotherapy. J R Coll Surg Edinb 1998; 43 (3): 141–154.

    PubMed  CAS  Google Scholar 

  28. Tandan VR, Harmantas A, Gallinger S. Long-term survival after hepatic cryosurgery versus surgical resection for metastatic colorectal carcinoma: a critical review of the literature. Can J Surg 1997; 40 (3): 175–181.

    PubMed  CAS  Google Scholar 

  29. Parkin DM, Pisani P, Ferlay J. Estimates of the worldwide incidence of 25 major cancers in 1990. Int J Cancer 1999; 80 (6): 827–841.

    Article  PubMed  CAS  Google Scholar 

  30. Zhou XD, Tang ZY. Cryotherapy for primary liver cancer. Semin Surg Oncol 1998; 14 (2): 171–174.

    Article  PubMed  CAS  Google Scholar 

  31. Mazziotti A, Grazi GL, Cavallari A. Surgical treatment of hepatocellular carcinoma on cirrhosis: a Western experience. Hepatogastroenterology 1998; 45 Suppl 3: 1281–1287.

    PubMed  Google Scholar 

  32. Wong WS, Patel SC, Cruz FS, Gala KV, Turner AF. Cryosurgery as a treatment for advanced stage hepatocellular carcinoma: results, complications, and alcohol ablation. Cancer 1998; 82 (7): 1268–1278.

    Article  PubMed  CAS  Google Scholar 

  33. Korpan NN. Hepatic cryosurgery for liver metastases. Long-term follow-up. Ann Surg 1997; 225 (2): 193–201.

    Article  PubMed  CAS  Google Scholar 

  34. Robertson JM, Lawrence TS, Walker S, Kessler ML, Andrews JC, Ensminger WD. The treatment of colorectal liver metastases with conformal radiation therapy and regional chemotherapy. Int J Radiat Oncol Biol Phys 1995; 32 (2): 445–450.

    Article  PubMed  CAS  Google Scholar 

  35. Bertuccelli M, Falcone A, Campoccia S, Conti M, Brunetti I, Caramella D et al. Intrahepatic chemotherapy with floxuridine, leucovorin and dexamethasone in continuous infusion and mitomycin-C bolus in unresectable hepatic metastases from colorectal cancer: a phase II study. Tumori 1999; 85 (6): 473–477.

    PubMed  CAS  Google Scholar 

  36. Howell JD, Warren HW, Anderson JH, Kerr DJ, McArdle CS. Intraarterial 5-fluorouracil and intravenous folinic acid in the treatment of liver metastases from colorectal cancer. Eur J Surg 1999; 165 (7): 652–658.

    Article  PubMed  CAS  Google Scholar 

  37. Kemeny N, Conti JA, Cohen A, Campana P, Huang Y, Shi WJ et al. Phase II study of hepatic arterial floxuridine, leucovorin, and dexamethasone for unresectable liver metastases from colorectal carcinoma. J Clin Oncol 1994; 12 (11): 2288–2295.

    PubMed  CAS  Google Scholar 

  38. Que FG, Nagorney DM, Batts KP, Linz LJ, Kvols LK. Hepatic resection for metastatic neuroendocrine carcinomas. Am J Surg 1995; 169 (1): 36–42.

    Article  PubMed  CAS  Google Scholar 

  39. McEntee GP, Nagorney DM, Kvols LK, Moertel CG, Grant CS. Cytoreductive hepatic surgery for neuroendocrine tumors. Surgery 1990; 108 (6): 1091–1096.

    PubMed  CAS  Google Scholar 

  40. Grazi GL, Cescon M, Pierangeli F, Ercolani G, Gardini A, Cavallari A et al. Highly aggressive policy of hepatic resections for neuroendocrine liver metastases [In Process Citation]. Hepatogastroenterology 2000; 47 (32): 481–486.

    PubMed  CAS  Google Scholar 

  41. Elias D, Cavalcanti dA, Eggenspieler P, Plaud B, Ducreux M, Spielmann M et al. Resection of liver metastases from a noncolorectal primary: indications and results based on 147 monocentric patients. J Am Coll Surg 1998; 187 (5): 487–493.

    Article  PubMed  CAS  Google Scholar 

  42. Chamberlain RS, Canes D, Brown KT, Saltz L, Jarnagin W, Fong Y et al. Hepatic neuroendocrine metastases: does intervention alter outcomes? J Am Coll Surg 2000; 190 (4): 432–445.

    Article  PubMed  CAS  Google Scholar 

  43. Seifert JK, Cozzi PJ, Morris DL. Cryotherapy for neuroendocrine liver metastases. Semin Surg Oncol 1998; 14 (2): 175–183.

    Article  PubMed  CAS  Google Scholar 

  44. Maksan SM, Lehnert T, Bastert G, Herfarth C. Curative liver resection for metastatic breast cancer. Eur J Surg Oncol 2000; 26 (3): 209–212.

    Article  PubMed  CAS  Google Scholar 

  45. Selzner M, Morse MA, Vredenburgh JJ, Meyers WC, Clavien PA. Liver metastases from breast cancer: long-term survival after curative resection. Surgery 2000; 127 (4): 383–389.

    Article  PubMed  CAS  Google Scholar 

  46. Adam R, Akpinar E, Johann M, Kunstlinger F, Majno P, Bismuth H. Place of cryosurgery in the treatment of malignant liver tumors. Ann Surg 1997; 225 (1): 39–8.

    Article  PubMed  CAS  Google Scholar 

  47. Crews KA, Kuhn JA, McCarty TM, Fisher TL, Goldstein RM, Preskitt JT. Cryosurgical ablation of hepatic tumors. Am J Surg 1997; 174 (6): 614–617.

    Article  PubMed  CAS  Google Scholar 

  48. Wren SM, Coburn MM, Tan M, Daniels JR, Yassa N, Carpenter CL et al. Is cryosurgical ablation appropriate for treating hepatocellular cancer? Arch Surg 1997; 132 (6): 599–603.

    Article  PubMed  CAS  Google Scholar 

  49. Bilchik AJ, Sarantou T, Wardlaw JC, Ramming KP. Cryosurgery causes a profound reduction in tumor markers in hepatoma and noncolorectal hepatic metastases. Am Surg 1997; 63 (9): 796–800.

    PubMed  CAS  Google Scholar 

  50. Lam CM, Yuen WK, Fan ST. Hepatic cryosurgery for recurrent hepatocellular carcinoma after hepatectomy: a preliminary report. J Surg Oncol 1998; 68 (2): 104–106.

    Article  PubMed  CAS  Google Scholar 

  51. Dale PS, Souza JW, Brewer DA. Cryosurgical ablation of unresectable hepatic metastases. J Surg Oncol 1998; 68 (4): 242–245.

    Article  PubMed  CAS  Google Scholar 

  52. Ravikumar TS, Kane R, Cady B, Jenkins R, Clouse M, Steele G, Jr. A 5-year study of cryosurgery in the treatment of liver tumors. Arch Surg 1991; 126 (12): 1520–1523.

    Article  PubMed  CAS  Google Scholar 

  53. Littrup P, Lee F, Rajan D. Hepatic cryotherapy. State of the art techniques and future developments. Ultrasound Quarterly 1998; 14: 171–188.

    Article  Google Scholar 

  54. Weaver Ml, Atkinson D, Zemel R. Hepatic cryosurgery in the treatment of unresectable metastases. Surg Oncol 1995; 4: 231–236.

    Article  PubMed  CAS  Google Scholar 

  55. Morris DL, Ross WB, Iqbal J. Cryoablation of hepatic malignancy: an evaluation of tumor marker data and survival in 110 patients. GL Cancer 1996; 1: 247–251.

    Google Scholar 

  56. Ravikumar TS, Kane R, Cady B. A 5 year study of cryosurgery in the treatment of liver tumors. Arch Surg 1991; 126: 1520–1524.

    Article  PubMed  CAS  Google Scholar 

  57. Korpan NN. Hepatic cryosurgery for liver metastases. Annals Surg 1997; 225: 193–201.

    Article  CAS  Google Scholar 

  58. Bengmark S, Hafstrom L. The natural history of primary and secondary malignant tumors of the liver: the prognosis for patients with hepatic metastases from colonic carcinoma by laparotomy. Cancer 1969; 23: 198–202.

    Article  PubMed  CAS  Google Scholar 

  59. Wood CB, Gillis CR, Blumgart LH. A retrospective study of the natural history of patients with liver metastases from colorectal cancer. Clin Oncol 1976; 2: 285–288.

    PubMed  CAS  Google Scholar 

  60. Bengtsson G, Caelsson G, Hafstrom L, Jonsson PE. Natural history of patients with untreated liver metastases from colorectal cancer. Am J Surg 1981; 141: 586–589.

    Article  PubMed  CAS  Google Scholar 

  61. Steele G Jr, Ravikumar TS. Resection of hepatic metastases from colorectal cancer: biologic perspectives. Ann Surg 1989; 210: 127–138.

    Article  PubMed  Google Scholar 

  62. Onik GM, Cooper C, Goldberg HI, Moss AA, Rubinsky B, Christianson M. Ultrasonic characteristics of frozen liver. Cryobiology 1984; 21: 321–328.

    Article  PubMed  CAS  Google Scholar 

  63. Onik G, Rubinsky B, Zemel R, et al. Ultrasound-guided hepatic cryosurgery in the treatment of colorectal metastatic colon carcinoma: preliminary results. Cancer 1991; 67: 901–907.

    Article  PubMed  CAS  Google Scholar 

  64. Ravikumar TS. The role of cryotherapy in the management of patients with liver tumors. Adv Surg 1996; 30: 281–291.

    PubMed  CAS  Google Scholar 

  65. Lee FT, Jr., Chosy SG, Weber SM, Littrup PJ, Warner TF, Mahvi DM. Hepatic cryosurgery via minilaparotomy in a porcine model: an alternative to open cryosurgery. Surg Endosc 1999; 13 (3): 253–259.

    Article  PubMed  Google Scholar 

  66. Tandan VR, Litwin D, Asch M, Margolis M, Gallinger S. Laparoscopic cryosurgery for hepatic tumors. Experimental observations and a case report. Surg Endosc 1997; 11 (11): 1115–1117.

    Article  PubMed  CAS  Google Scholar 

  67. Cuschieri A, Crosthwaite G, Shimi S, Pietrabissa A, Joypaul V, Tair I. Hepatic cryotherapy for liver tumors. Development and clinical evaluation of a high-efficiency insulated multineedle probe system for open and laparoscopic use. Surg Endosc 1995; 9 (5): 483–489.

    Article  PubMed  CAS  Google Scholar 

  68. McCall JL, Jorgensen JO, Morris DL. Laparoscopic hepatic cryotherapy: a study of safety in rabbits. Surg Laparosc Endosc 1996; 6 (1): 29–31.

    Article  PubMed  CAS  Google Scholar 

  69. Iannitti DA, Heniford T, Hale J, Grundfest-Broniatowski S, Gagner M. Laparoscopic cryoablation of hepatic metastases. Arch Surg 1998; 133 (9): 1011–1015.

    Article  PubMed  CAS  Google Scholar 

  70. Wallis CB, Coventry DM. Anaesthetic experience with laparoscopic cryotherapy. A new technique for treating liver metastases. Surg Endosc 1997; 11 (10): 979–981.

    Article  PubMed  CAS  Google Scholar 

  71. Pistorius G, Menger MD, Feifel G. Minilaparotomy vs the percutaneous approach for minimally invasive hepatic cryosurgery [letter]. Surg Endosc 2000; 14 (2): 207–209.

    Article  PubMed  CAS  Google Scholar 

  72. Heniford BT, Area MJ, Iannitti DA, Walsh RM, Gagner M. Laparoscopic cryoablation of hepatic metastases. Semin Surg Oncol 1998; 15 (3): 194–201.

    Article  PubMed  CAS  Google Scholar 

  73. Lezoche E, Paganini AM, Feliciotti F, Guerrieri M, Lugnani F, Tamburini A. Ultrasound-guided laparoscopic cryoablation of hepatic tumors: preliminary report. World J Surg 1998; 22 (8): 829–835.

    Article  PubMed  CAS  Google Scholar 

  74. Alperovich BI. Alveococcosis. Yacutsk, Russia, 1967.

    Google Scholar 

  75. Alperovich BI. Alveococcosis and its treatment. Medicine, Moscow, 1972.

    Google Scholar 

  76. Alperovich BI, Paramonova LM, Merzlikin NV. Cryosurgery of the liver and pancreas. Tomsk, Tomsk State University Press, 1985.

    Google Scholar 

  77. Alperovich BI. Surgery of the liver. Tomsk, Tomsk State University Press, 1985.

    Google Scholar 

  78. Alperovich BI. Liver and biliary tract surgery. Tomsk, Siberian Medical University, 1997.

    Google Scholar 

  79. Bregadze IL, Konstantinov VM. Alveolar echinococcosis. Medgis, USSR, 1963.

    Google Scholar 

  80. Dederer YM, Krylova NP. Atlas of operations on the liver. Medicine, Moscow, 1975.

    Google Scholar 

  81. Bruns P. Leberresection bei multilokulaerem Echinococcosis. Beitr. f.klin.Chir., 1896; 50 (7): 1353.

    Google Scholar 

  82. Cooper IS. Cryogenic Surgery. Engineering in the Practice of Medicine. Baltimore, 1967.

    Google Scholar 

  83. Reifferscheid M. Chirurgie der Leber. Stuttgart, 1957.

    Google Scholar 

  84. Stucke K. Zur chirurgischen Therapie der Echinococcus alveolaris. Der Chirurg, 1963; 34: 165.

    CAS  Google Scholar 

  85. Alperovich BI. Surgery of liver and bile ducts. Tomsk, Siberian State Medical University, 1997.

    Google Scholar 

  86. Alperovich BI, Paramonova LM, Merslikin NV. Cryosurgery of the liver and pancreas. Tomsk, Tomsk State University, 1985.

    Google Scholar 

  87. Askerhanov RP. Surgery of echinococcosis. Makhachkala, Dagestan Publishing House, 1976.

    Google Scholar 

  88. Petrovsky BV, Milonov OB, Deyenichin PG. Surgery of echinococcosis. Moscow, Medicina, 1985.

    Google Scholar 

Download references

Authors
  1. Nikolai N. Korpan
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, Evangelical Hospital Vienna-Waehring, Vienna International Institute for Cryosurgery, Vienna, Austria

    Nikolai N. Korpan MD, PhD (Professor of Surgery) (Professor of Surgery)

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer-Verlag Wien

About this chapter

Cite this chapter

Korpan, N.N. (2001). Abdominal Cryosurgery. In: Korpan, N.N. (eds) Basics of Cryosurgery. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6225-5_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-6225-5_9

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-7304-6

  • Online ISBN: 978-3-7091-6225-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation