A thoracoabdominal hepatectomy and a transdiaphragmatic hepatectomy for patients with cirrhosis and hepatocellular carcinoma

Archives of Surgery
K TakenakaK Sugimachi

Abstract

To evaluate the results of a thoracoabdominal hepatectomy and a transdiaphragmatic hepatectomy for hepatocellular carcinoma in patients with impaired liver function. Retrospective study. A university hospital in Japan. Twenty-seven patients who from 1991 to 1996 underwent a thoracoabdominal hepatectomy for hepatocellular carcinoma located mainly in the superior portion of the liver and 20 patients who underwent a transdiaphragmatic hepatectomy for hepatocellular carcinoma located near the diaphragm. Morbidity, survival, and disease-free survival after each operation. Comparisons were then made with 183 patients who had undergone an ordinary transabdominal hepatectomy during the same period. In the thoracoabdominal hepatectomy group, 17 patients underwent a partial resection, 4 patients underwent a subsegmentectomy, and another 6 patients underwent either a segmentectomy or a procedure that was greater in size than a segmentectomy, whereas all of the patients in the transdiaphragmatic group underwent a partial resection. The morbidities in the thoracoabdominal group included pleural effusion in 6 patients (22%); intra-abdominal infection in 5 patients (19%); and hepatic failure in 3 patients (11%), of whom 1 died (mortality rate...Continue Reading

Citations

Mar 22, 2003·Journal of the American College of Surgeons·Feng XiaJohn Wong
Dec 14, 2011·Journal of Visceral Surgery·N GolseJ Y Mabrut
Apr 6, 2011·Journal of Surgical Oncology·Yo-ichi YamashitaYoshihiko Maehara
Dec 18, 2013·Updates in Surgery·Matteo DonadonGuido Torzilli
Jun 15, 2013·Revista iberoamericana de micología·Arnaldo Lopes ColomboUNKNOWN Latin America Invasive Mycosis Network
Feb 24, 2006·Journal of Surgical Oncology·Mattia StellaMichel Rivoire

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