According to the literature study performed last january 2000 to january 2016, as reported in literature article describing the surgical techniques for a thoracoscopic approach to treat hepatocellular carcinoma in the hepatic dome.Thoracoscopic hepatic resection was performed under direct vision through a diaphragmatic incision.Thoracoscopic radiofrequency ablation (trfa) was performed either with transdiaphragmatic puncture for deeply located tumors or under direct vision through a diaphragmatic incision for subcapsular tumors.Total of 107 patients with hepatocellular carcinoma in the hepatic dome were treated: 5 patients underwent thoracoscopic hepatic resection (thr) and 102 patients underwent thoracoscopic radiofrequency ablation (trfa).Complications in the trfa (thoracoscopic radiofrequency ablation) group totaled 13: (6) refractory pleural effusion, (1) thoracic empyema, (1) refractory ascites, (1) pleuritis, (2) sepsis and (2) others.
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