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

[Abstract] [Full Text PDF] （in Japanese / 1571KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 103(4): 381-385, 2002

Case report

LIVER TRANSPLANTATION FOR HEPATOCELLULAR CARCINOMA:EXPERIENCE AT AN AUSTRALIAN TRANSPLANTATION UNIT

First Department of Surgery, Nagasaki University School of Medicine, Nagasaki, Japan

Atsushi Nanashima

The author experienced 11 cases of orthotopic liver transplantation (LTx) for hepatocellular carcinoma (HCC) in Sydney, Australia, series. LTx was selected in 5 cases for the treatment of HCC and in 6 for terminal liver failure. Three patients had new lesions, which were not detected on preoperative imaging, and 5 had vascular or extrahepatic in filtrations. Two patients with hepatitis C had recurrence of hepatitis at an early stage. Two had tumor recurrence, one of which had 7 lesions with invasion to the vessels and bare area. Thus some problems remain in LTx for HCC, including the recurrence of hepatitis in hepatitis C and tumor recurrence in cases with high-risk factors based on the pathologic findings.

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