J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1594KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 93(9): 1087-1090, 1992

Report on the annual meeting

A CLINICAL STUDY ON LIVER RESECTIONS FOR THE PATIENTS WITH SMALL HEPATOCELLULAR CARCINOMA LESS THAN THREE CENTIMETER IN DIAMETER

The First Department of Surgery, Hokkaido University, School of Medicine, Sapporo, Japan

Yasuaki Nakajima, Eisuke Nagabuchi, Naoki Sato, Toshiya Kamiyama, Shinichi Matsuoka, Yoshie Une, Junichi Uchino

Liver resections for 52 cases with small hepatocellular carcinoma (HCC) less than 3cm in diameter were clinically studied. The 5-year-survival rate was 57.1%, which was better than that of percutaneous ethanol injection (PEI) therapy.
Histological study revealed infiltration to the capsule in 48.1%, of which 20% had extra-capsular invasion. This finding seemed to be an important problem in PEI therapy.
The group in which resected area was much larger than the extent of tumors had a tendency having good cumulative survival and non-recurrence rates. It is thought that the curative resection should be intended for small HCC if the patient has enough hepatic reserve to undertake a curative operation.

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