Limited Hepatic Resection Effective for Selected Cirrhotic Patients with Primary Liver Cancer
- 1 January 1984
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Surgery
- Vol. 199 (1), 51-56
- https://doi.org/10.1097/00000658-198401000-00009
Abstract
We evaluated in retrospect the applicability of limited hepatic resection in cases of primary liver cancer in cirrhotic patients. According to the severity of impaired liver function, 37 patients underwent limited resection, and for 13, standard major hepatic resection was done. The mortality rate in case of limited resection was 10.8%, and the rate in case of massive excision was 15.4%. One, two- and five-year survival rates of limited operation were 79.9, 60.3, and 32.6%, respectively. After standard resection, the rates were 78.7, 67.5, and 22.5%, respectively. There were no significant differences in the mortality and survival rates between the two groups. These results indicate that, for the patient with a small liver cancer, and poor liver function, the limited procedure leads to a comparatively longer survival. This limited resection can be selectively used to treat cancer associated with cirrhosis and encapsulated tumors. For the preoperative evaluation, hepatic arteriograms aid in patient selection.Keywords
This publication has 12 references indexed in Scilit:
- Minute liver cancer and concomitant esophageal varices: Detection and successful surgical treatmentWorld Journal of Surgery, 1981
- Primary liver cancer: A review of 205 cases in HawaiiThe American Journal of Surgery, 1979
- Major Hepatic Resection for NeoplasiaAnnals of Surgery, 1978
- Clinicopathologic features of encapsulated hepatocellular carcinoma.A study of 26 casesCancer, 1977
- Primary carcinoma of the liver.1976
- ANGIOGRAPHIC EVALUATION OF HEPATOMA FOR SURGICAL TREATMENT1976
- Primary carcinoma of the liverThe American Journal of Surgery, 1974
- Physiologic considerations in major hepatic resectionsThe American Journal of Surgery, 1969
- A GENERALIZED WILCOXON TEST FOR COMPARING ARBITRARILY SINGLY-CENSORED SAMPLES.1965
- Primary carcinoma of the liver.A study of 100 cases among 48,900 necropsiesCancer, 1954