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Long‐term survivors after hepatectomy for hepatocellular carcinoma
Author(s) -
TSUNODA TSUKASA,
SEGAWA TOHRU,
ETO TOSHIFUMI,
IZAWA KUNIHIDE,
TSUCHIYA RYOICHI
Publication year - 1990
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1111/j.1440-1746.1990.tb01112.x
Subject(s) - medicine , hepatocellular carcinoma , hepatectomy , cirrhosis , resection , surgery , surgical resection , carcinoma , arterial embolization , gastroenterology , embolization
Sixteen long‐term (more than 5 years) survivors after hepatic resection performed for hepatocellular carcinoma (HCC) from 1970 to 1988, were reviewed. The mean age of the patients was 51 years. There were 11 males and 5 females. HBs antigen was positive in 9 patients. Liver cirrhosis was associated with 11 patients but its severity was designated as Child's A in all patients except one. The mean tumour diameter was 2.8 cm and was relatively small. At the first operation, limited procedures (i.e. partial hepatectomy and subsegmentectomy) were employed in 87.5% of patients. A large percentage of tumours were located in S 5 and S 6 segments. A recurrence of HCC occurred in 9 patients after the first resection. A second resection was carried out in 7 patients, in 2 of which a third resection was done. Transcatheter arterial embolization (TAE) was performed on 4 patients. These results show that, in addition to detection of small tumours and early resection, repeated operation or TAE for treatment of recurrent HCC was important in achieving long‐term survival after HCC resection.