J.Jpn. Surg. Soc.. 79(8): 633-637, 1978
Report on the annual meeting
SURGICAL TREATMENT OF PRIMARY LIVER CANCER ASSOCIATED WITH CIRRHOSIS: EXPERIENCE OF PORTAL BRANCH LIGATION FOR UNRESECTABLE CASES
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1) 1st Department of Surgery, Niigata University School of Medicine Keisuke Yoshida1), Kazunori Yoshioka1), Terukazu Muto1), Hiroshi Ito2) |
For these patients with cirrhosis, hepatic resection was performed in 7 including 1 partial resection of right posterior segment, 1 lateral segmentectomy and 5 right lobectomies. Two patients died of hepatic failure within 30 days following right lobectomy. As a palliative procedure for unresectable hepatoma associated with cirrhosis, portal branch ligation (PBL) was performed in 5 cases. Postoperative hepatic insufficiency represented by increased jaundice and/or ascites, was observed in 2 without any operative death. Two patients survived longer than a year and one of them is still alive today (30 months after operation). Reduction of tumor size associated with atrophy of the corresponding lobe and compensatory hypertrophy of the opposite lobe after PBL were detected in both of these patients.
PBL combined with anticancer chemotherapy seemed to be advantageous for those in whom hepatic lobectomy was too hazardous because of cirrhosis even though the tumor invasion did not excessively advance beyond the line of Cantlie.
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