• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Microwave coagulation for hepatocellular carcinoma.

Research Project

Project/Area Number 08670617
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Gastroenterology
Research InstitutionJichi Medical School

Principal Investigator

KAWAMOTO Chiaki  Jichi Med.Sch.Medicine Lecturer, 医学部, 講師 (30169776)

Co-Investigator(Kenkyū-buntansha) HOZUMI Masanori  Jichi Med.Sch.Medicine Assistant, 医学部, 助手
ISODA Norio  Jichi Med.Sch.Medicine Assistant, 医学部, 助手 (30275680)
IDO Kenichi  Jichi Med.Sch.Medicine Assistant Professor, 医学部, 助教授 (80112621)
Project Period (FY) 1996 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1997: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1996: ¥1,400,000 (Direct Cost: ¥1,400,000)
Keywordshepatocellular carcinoma / microwave coagulation / MRI
Research Abstract

Clinical study
(1) Evaluation of the therapeutic efficacy after LMC
Clinically, the dissapearance of enhanced effect on CT imaging (a low density area on enhanced CT after LMC that is larger than the tumor size) was useful..
(2) Histological examination after microwave irradiation
Around the area of coagulation necrosis, liver cells were aggregated, but nucleus was intact in H.E.stain. Histologically, these liver cells were intact in H.E.stain and electron microscope, but in future these cells became necrosis.
We examined cytochrome C oxidase. Before treatment, cytochrome C oxidase activity wa seen. After microwave irradiation, there was no cytochrome C oxidase activity in mitochondoria. But, the form of mitochondria, nucleus, and other cell-organs were intact.
Initially microwave effects was considered thermal effexts. But, from these results, there may be unknown mechanisms to the liver.
Experimental Results
(1) The results of microwave effects (60W,1min.) to the vessels.
Irradiation was performed near the portal vein and the hepatic vein (distance is 2mm).
Desquamation of epithelial cells and degeneration of collagen fibers occured. But, portal vein and hepatic vein were not occuluded. Further, bile duct and hepatic artery were intact.
It was condidered that large blood vessels does not sustain injury.
(2) Microwave effects on canine liver
The center of coagulated area which was inserted electrode became carbonized.
Around carbonized area, coagulation necrosis occured.
Around the area of coagulation necrosis, liver cells were aggregated, but nucleus was intact in H.E.stain. Histologically, these liver cells were intact, but in future these cells became necrosis. Around aggregated cells, sinusoidal dilatation and congestion were seen.

Report

(3 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report
  • Research Products

    (9 results)

All Other

All Publications (9 results)

  • [Publications] 井戸 健一, 礒田 憲夫, 川本 智章 他: "肝細胞癌に対する超音波腹腔鏡下マイクロ波凝固療法(LMCT)" 消化器内視鏡. 8. 1711-1717 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] K.Ido, N.Isoda, C.Kawamoto et al: "Laparoscopic microwave coagulation for solitary hepatocell-lar carcinoma performed under laparoscopic ultrasonography." Gastrointestinal Endoscopy. 45. 415-420 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 川本 智章, 井戸 健一, 礒田 憲夫, 他: "肝細胞癌に対するマイクロ波凝固療法-内科サイドから-。" 消化器内視鏡. 10. 1341-1348 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 川本 智章: "消化器内視鏡のコツと落とし穴-肝胆膵-" 中山書店, 126-127 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Ido Kenichi et al.: "Laparoscopic microwave coagulation for solitary hepatocellular carcinoma performed under laparoscopic ultrasonography." Gastrointestinal Endoscopy. 45. 415-420 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 川本智章 他: "肝癌の局所治療に挑む;肝細胞癌に対するマイクロ波凝固療法-内科サイドから-" 消化器内視鏡. 10. 1341-1348 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 井戸健一 他: "肝細胞癌に対する超音波腹腔鏡下マイクロ波凝固療法(LMCT)" 消化器内視鏡. 8. 1711-1717 (1996)

    • Related Report
      1997 Annual Research Report
  • [Publications] 川本智章: "消化器内視鏡のコツと落し穴-肝・胆・膵-" 中山書店, 126-127 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 井戸健一: "Laparoscopic microwave coagulation therapy for solitary hepatocellular carcinoma performed under laparoscopic ultrasonography" GASTROINTESTINAL ENDOSCOPY. (1997)

    • Related Report
      1996 Annual Research Report

URL: 

Published: 1996-04-01   Modified: 2016-04-21  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi