Hepatic resection for hepatocellular carcinoma (HCC) without using microwave tissue coagulation (MTC)

概要

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Major post-operative complications are often experience after hepatic resection. In particular, abdominal abscess and bile leakage frequently occur. Here we report the complications observed after hepatic resection without using MTC, and also suggest treatment to reduce these post-operative problems. From July 1992 to December 1994, 33 patients with HCC were performed partial hepatectomy without using MTC at the National Cancer Center Hospital East. The above complications occured in 9 patients (31%). Those patients were associated with Clinical stage II, resection of segment 8, and with increased intraoperative blood loss, operative time and tumor size. However none of the patients had liver failure or MOF because we performed US frequently and had adequate drainage after the operation. In conclusion ; for patients with a high risk of complications, there should be more careful management after hepatic resection.