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Direct Current Electrolysis for the Local Ablation of Liver Metastases

  • Chapter
Multi-Treatment Modalities of Liver Tumours

Abstract

The dictionary definition of electrolysis is the chemical decomposition by electrical action. World wide, direct current Electrolysis (also known as ‘Electrochemical Therapy’ or ‘ECT’) is probably the second most used form of localised hepatic ablation, after alcohol injection 1-4. The majority of reports are from China and it is unclear why the enormous potential of electrolysis has been overlooked in the West 5. Certainly the diverse nature of the tumours treated by the Chinese and the variably reported methodologies and results make interpretation of the efficacy of electrolysis difficult. It would however seem that there is a large body of anecdotal evidence supporting the safety and efficacy of electrolysis. The technique itself is easily available, simple, relatively cheap and lends itself to a percutaneous approach. In common with all forms of ablative technique, the clinical application has been introduced prior to rigorous scientific evaluation and despite many thousands of clinical cases, the use of ‘electrolysis’ must still be considered experimental.

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Finch, J.G., Fosh, B.G., Maddern, G.J. (2002). Direct Current Electrolysis for the Local Ablation of Liver Metastases. In: Habib, N.A. (eds) Multi-Treatment Modalities of Liver Tumours. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0547-1_22

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