Patient Name:     ,           

DOB:        SEX:    

Ordering Physician:     ,    

 

PROCEDURE: Radiofrequency ablation of liver tumor with CT guidance

DATE:    

CLINICAL HISTORY:    

OPERATING PHYSICIAN: John Doe, MD (Attending)/Jane Doe, MD (Fellow)    

MEDICATION:    

RADIOFREQUENCY PROBE:    

COMPLICATIONS:    

 

PROCEDURE:

Informed consent was obtained and placed in the patient’s chart after the risk of infection, bleeding and liver injury were explained.  Constant physiologic monitoring and moderate sedation were performed by radiology nursing staff.

With the patient in the     position, the right upper quadrant was scrubbed and draped in the usual aseptic manner. Under CT guidance, a     radiofrequency ablation probe was advanced through the center of the tumor and the tip was positioned at its medial margin. Radiofrequency ablation was performed for 12 minutes. The tract was then sequential ablated as the probe was being removed. The patient tolerated this procedure well and was transferred to the recovery room in stable condition.

 

IMPRESSION: Successful CT-guided RFA of liver tumor.