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. Author manuscript; available in PMC: 2017 Aug 1.
Published in final edited form as: J Gastrointest Surg. 2016 Mar 16;20(8):1428–1434. doi: 10.1007/s11605-016-3117-z

Table 1. Clinical findings of 12 patients with a history of biliary manipulation prior to thermal ablation of liver lesion(s).

Patient no. Age (years) Sex (M/F) Primary tumor Type of surgery causing biliary violation Biliary manipulation to ablation (years) Size of tumors (cm) Thermal ablation modality Previous TACE? Antibiotic prophylaxis Post-ablation abscess (yes/no)
1 78 F GIST PD 10.0 0.8 MWA No APARa No
2 64 F PDAC PD 1.0 2 RFA No APARa No
3 69 M Pancreatic NET PD 3.6 1.8 MWA No APARa No
4 71 F LMS PD 1.7 2.5 MWA No APARa No
5 42 F Ampullary carcinoma PD 1.5 1.8 MWA No APARa No
6 54 M Pancreatic NET PD 0.8 1.2 MWA No APARa No
7 72 M Pancreatic NET PD 16.5 1.7 RFA No APARa No
8 65 F Pancreatic NET PD 2.0 1.0 MWA No APARab No
9 65 M Ampullary carcinoma PD 2.9 1.4 Cryo No APARa No
10 37 M Small bowel carcinoma PD 0.5 1.1 MWA No APARa No
11 64 F Pancreatic NET PD 3.5 (a) 1.8 (b)3.5 (a) RFA (b)RFA Yes Other regimenc Yes
12 76 M PDAC PD 2.1 2.5 MWA No Other regimend Yes

TACE transarterial chemoembolization, GIST gastrointestinal stromal tumor, PD pancreaticoduodenectomy, MWA microwave ablation, APAR aggressive prophylactic antibiotic regimen, PDAC pancreatic ductal adenocarcinoma, RFA radiofrequency ablation, NET neuroendocrine tumor, LMS leiomyosarcoma, Cryo cryoablation

a

APAR: Levofloxacin 500 mg orally daily and metronidazole 500 mg orally every 12 h beginning 2 days before the procedure and continuing for 14 days after the procedure; neomycin 1 g orally and erythromycin base 1 g orally at 1, 2, and 11 pm the day before the ablation

b

Patient was unable to complete antibiotic regimen because of antibiotic-related adverse events

c

Piperacillin/tazobactam 4.5 g intravenously four times a day plus metronidazole 500 mg intravenously twice daily within 1 h of procedure on the day of the procedure followed by ciprofloxacin and metronidazole 500 mg orally each twice a day for 7 days

d

Metronidazole 500 mg orally twice a day within 1 h of the procedure for 10 days