Open AccessTotal hepatectomy and liver replacement (orthotopic liver transplantation) for primary hepatic malignancy
Author(s) -
Iwatsuki Shunzaburo,
Klintmalm Goran B. G.,
Starzl Thomas E.
Publication year - 1982
Publication title -
world journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.115
H-Index - 148
eISSN - 1432-2323
pISSN - 0364-2313
DOI - 10.1007/bf01656377
Subject(s) - medicine , abdominal surgery , malignancy , liver transplantation , cardiothoracic surgery , vascular surgery , cardiac surgery , hepatectomy , orthotopic liver transplantation , surgery , incidence (geometry) , transplantation , gastroenterology , resection , physics , optics
There has been a high incidence of tumor recurrence after liver transplantation for primary hepatic malignancy. Nevertheless, a small but significant palliation has been possible with this approach, even in patients who eventually died of recurrence. Two patients with incidental malignancies in their excised livers apparently have been cured. Further gains will be possible only with extremely discriminating selection of prospective recipients.