J.Jpn. Surg. Soc.. 79(8): 629-632, 1978

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Report on the annual meeting

RESECTION OF HEPATOMA WITH CIRRHOSIS

Fifty two cases of liver cancer were treated at the Department of Surgery, Keio University Hospital during 7 years and 3 months. Nine cases of cholangioma were not complicated by cirrhosis, while 28 out of 42 cases of hepatoma had cirrhosis, indicating combination rate of 65.1 per cent. Five out of 28 hepatoma underwent resection. Patient 1 is well 4 years and 8 months after left lobectomy, although he bled from esophageal varices 3 years and 3 months postoperatively. Patient 2 is well 3 years and 4 months after extended right lobectomy. Patient 3 lives with recurrence 1 year and 8 months after extended right lobectomy with removal tumor mass in the hepatic ducts. Patient 4 died of liver failure at the 12 th P. O. day after extended right lobectomy with combined resection of diaphragm, right adrenal gland and right kidney. Patient 5, who had severe diabetes mellitus, died of nonketotic hyperosmolar hyperglycemic coma at the 12 th P. O. day after left lobectomy.
The experience revealed that cirrhotic patients can tolerate extended right lobectomy with longterm survival. Esophageal varices should be carefully watched for a patient who lives for a long time.

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