Annals of surgery
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Review Meta Analysis
Local recurrence after hepatic radiofrequency coagulation: multivariate meta-analysis and review of contributing factors.
The purpose of this study was to analyze the factors that influence local recurrence after radiofrequency coagulation of liver tumors. ⋯ Radiofrequency coagulation by laparoscopy or laparotomy results in superior local control, independent of tumor size. The percutaneous route should mainly be reserved for patients who cannot tolerate a laparoscopy or laparotomy. The short-term benefits of less invasiveness for the percutaneous route do not outweigh the longer-term higher risk of local recurrence.