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Keywords: Complications; Hepatocellular carcinoma; Laparoscopic microwave ablation; Microwave ablation; Percutaneous microwave ablation; Thermal ablation.

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A: Ultrasound evaluation before ablation; B: Needle insertion; C: Hyperechoic boiling effect in the ablation area during the procedure; D: One month later ultrasound evaluation: The inner hyperechoic track corresponds to the position of the active probe.

Different energy sources are currently employed in clinics as physical agents for percutaneous or intra-surgical thermal ablation of HCC nodules.

Among them, radiofrequency RF currents are the most used, while microwave ablations MWA are becoming increasingly popular.

Hendriks P, Berkhout WEM, Kaanen CI, Sluijter JH, Visser IJ, van den Dobbelsteen JJ, de Geus-Oei LF, Webb AG, Burgmans MC.

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In this review we provide an extensive and detailed overview of the key physical and technical aspects of MWA and of the currently available systems, and we want to discuss the most relevant published data on MWA treatments of HCC nodules in regard to clinical results and to the type and rate of complications, both in absolute terms and in comparison with RFA.

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PMID: 33462682 Free PMC article.