I'm in the UK and enquired about histotrypsy which was under a trial, now ended, at a leading hospital. It is not generally available yet in the UK. This was prior to my liver resection which was done successfully on 16 August (3 small tumours removed plus my gall bladder) from which I have made an excellent recovery - still the possibility of chemo but looking unlikely at present. (An MRI yesterday and a meeting next week with my oncologist will determine whether or not chemo is necessary.)
The consultant responsible for the histotrypsy trial advised me as follows:
'I have to say that I would opt for thermal ablation where possible if I needed treatment on liver mets ( or resection depending on size or location). Your team is experienced and have thermal ablation options should you need them.'
I'm not sure what to make of this - perhaps all will become clear when the results of the trial are published. Given the pressure on public finances it might be that there is no budget yet to adopt histotrypsy in the UK. It sounds as if it is already available in various parts of the US and I hope it proves of benefit to those needing treatment.