HIFU treatment criteria for patients with pancreatic cancer

Indications for HIFU - ablation:

  • Histologically verified pancreatic cancer

  • The patient cannot withstand a radical surgery

  • Unresectable carcinoma

  • Expected survival for more than 3 months

  • The tumor is clearly visible with ultrasound

  • The patient has no clinical manifestations of obstructive jaundice

  • Possibility to provide enough and safe  acoustic approach to the  tumor

  • Patients in stage 4 with a strong pain syndrome of morphine derivatives

  • Patients have applied  at least 3 courses of chemotherapy before  the HIFU - ablation

  • Signed informed consent  for the  ablation

Contraindications for HIFU - ablation:

  • Contraindications for general anesthesia

  • After surgery for  jaundice, the tumor is not visible with ultrasound due to large postoperative scars, adhesions etc.

  • The presence of metal particles (clips) after surgery / pankreatoektomiya /

  • Obstructive jaundice

  • Thrombosis of the inferior vena cava and / or portal vein Completely broken upper mesenteric vessels

  • Massive calcification of the vessels

  • Patients after radiotherapy with  a dose over 45 GY.