SAGES/AHPBA guidelines for the use of microwave and radiofrequency liver ablation for the surgical treatment of hepatocellular carcinoma or colorectal liver metastases less than 5 cm.
Eugene P CeppaAmelia T CollingsMoustafa AbdallaEdwin OnkendiDaniel W NelsonAhmad OzairEmily MiraflorFaique RahmanJake WhitesideMihir M ShahSubhashini AylooRebecca DirksSunjay S KumarMohammed T AnsariIswanto SucandyKchaou AliSam DouglasPatricio M PolancoTimothy J VreelandJoseph BuellAhmed M Abou-SettaZiad AwadChoon Hyuck KwonJohn B MartinieFabio SbranaAurora PryorBethany J SlaterWilliam RichardsonRohan JeyarajahAdnan AlseidiPublished in: Surgical endoscopy (2023)
Given the weak evidence, these guidelines provide modest guidance regarding liver ablative therapies for HCC and CRLM. Liver ablation is just one component of a multimodal approach and its use is currently limited to a highly selected population. The quality of the existing data is very low and therefore limits the strength of the guidelines.