J.Jpn. Surg. Soc.. 86(9): 1231-1233, 1985

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Report on the annual meeting

TREATMENTS FOR PATIENTS WITH HEPATOMA AND ESOPHAGEAL VARICES

Fifty-nine patients with hepatoma associated with advanced esophageal varices who received a variety of therapeutic modalities in the past 10 years at our department were reviewed. Our therapeutic modalities are hepatic resection, hepatic artery ligation (HAL) and trans-arterial embolization (TAE) for those with hepatoma and non-shunting treatment (NST ; esophageal transection or Hassab’s procedure) and endoscopic sclerotherapy (ST) for those with esophageal varices. A patient selection was made by our own criterial developed by a multiple regression analysis for the hepatoma and K_ICG value for esophageal varices.
Out of 59, 16 underwent hepatic resection and NST. Eight survived more than 2 years. The longest survivor has been living for 4 yr and 4 months. Two-year survival rate is 69.8％. Another 16 underwent HAL and NST. Two-year survival was 14.6％. Another 7 underwent ST following hepatic resection or HAL. Five of the 7 received an emergency ST. Hemostasis was achieved in all of them. Two-year survival was 21.8％. The remaining 20 underwent ST and TAE ; 13 received an emergency ST with 85％ of hemostasis rate. None of them survived more than 2 years.
From these data, it is suggested that a proper selection of patients for a proper therapeutic modality improves the prognosis even in those with hepatoma associated with advanced esophageal varices.

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