Pancreas
HIFU TREATMENT CRITERIA FOR PATIENTS WITH PANCREATIC CANCER
INDICATIONS FOR HIFU - ABLATION
- Histologically verified pancreatic cancer
- The patient cannot withstand a radical surgery
- Unresectable carcinoma
- Expected survival for more than 3 months
- The tumor is clearly visible with ultrasound
- The patient has no clinical manifestations of obstructive jaundice
- Possibility to provide enough and safe acoustic approach to the tumor
- Patients in stage 4 with a strong pain syndrome of morphine derivatives
- Patients have applied at least 3 courses of chemotherapy before the HIFU - ablation
- Signed informed consent for the ablation
CONTRAINDICATIONS FOR HIFU - ABLATION:
- Contraindications for general anesthesia
- After surgery for jaundice, the tumor is not visible with ultrasound due to large postoperative scars, adhesions etc.
- The presence of metal particles (clips) after surgery / pankreatoektomiya /
- Obstructive jaundice
- Thrombosis of the inferior vena cava and / or portal vein Completely broken upper mesenteric vessels
- Massive calcification of the vessels
- Patients after radiotherapy with a dose over 45 GY.
HAYFU treatment in patients with advanced pancreatic cancer
indication:
- Histologically or cytologically proven pancreatic cancer
- pancreatic cancer in which operation is not possible
- A patient with a strong pain syndrome of morphine derivatives
- A patient with a strong pain syndrome of morphine derivatives
- 3 courses of chemotherapy before ablation
- Patient preserved structural condition
- Signed informed consent for ablation
- A patient who can not withstand radical surgery
- Patient not clinically manifested obstructive jaundice
- A patient who has no leukocytosis
absolute contraindications:
- After operations on the occasion of jaundice tumor is not visible by ultrasound
- Great postoperative scarring limiting ablation, multiple adhesions, etc..
- obstructive jaundice
- Completely disabled or under 30% flow in the upper mesenteric vessels, truncus tseliakus, vein porter, etc.
- Calcification of vessels
- Patient after radiation therapy at a dose of 45 GY
- data from computed tomography for thrombosis and arterial venous vessels in
- Availability of leukocytosis
- Poor general condition
- Lack of histological and cytological evidence of pancreatic cancer
elative contraindications:
- Relative contraindications
- Plastic bench at the common bile duct.
- Infiltration of a hollow organ abdominal tumor
- Obstructive jaundice
- Lack of consultation with experienced hepatobiliary surgeon
These patients go through a committee of experienced professionals Hayfu
for their approval or rejection for conducting extracorporeal ablation
in advanced pancreatic cancer.