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간세포암종 환자에서 고주파 열치료술 후에 발생한 담관-십이지장 누공 1예
박성길 ( Seong Gill Park ),박성재 ( Sung Jae Park ),구호석 ( Ho Suk Koo ),박상원 ( Sang Won Park ),박은택 ( Eun Tack Park ),이연재 ( Youn Jae Lee ),이상혁 ( Sang Hyuk Lee ),설상영 ( Sang Young Seol ) 대한소화기학회 2008 대한소화기학회지 Vol.51 No.3
Hepatocellular carcinoma (HCC) is one of the most common malignant neoplasms occuring worldwide. Surgical resection currently provides the best chance of long-term tumor free survival, but the most HCCs are not candidates for surgical excision due to poor liver function or poor medical background. Numerous noninvasive alternatives to surgical resection have been introduced to treat liver cancers. Radiofrequency thermal ablation has begun to receive much attention as an effective and minimally invasive technique for the local control of HCC. The biliary system related complications after radiofrequency ablation has rarely been reported. We report a case of biliary-duodenal fistula with liver abscess after radiofrequency ablation for HCC. The case was treated by abscess drainage and antibiotics. (Korean J Gastroenterol 2008;51:199-203)