切除し得た原発性肝癌60例の予後の検討

概要

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Results of 60 cases of resected hepatocellular carcinoma (HCC) were analyzed with respect to operative risk, postoperative complication and survival after surgery. Five-, three-, and one-year survival rates of the patient were 8, 34 and 52 percent, respectively. There was a patient of longest survival who is still living eight-and-a-half years after extended right hepatectomy. The two major causes of death after surgery were reccurence of the cancer and hepatic failur. In cases with liver cirrhosis, the cause of late death was twice more frequently by hepatic failure than reccurent carcinoma. Considering this major risk factor, liver cirrhosis, we had developed a useful method to estimate the remaining hepatic function preoperatively.<BR>Our experiences showed that complete removal of HCC with the efforts to save the noncancerous hepatic tissue as much as possible is essential. As the results of the efforts with this principle, two- and one-year survival rates were improved to 67 and 88 percent respectively in recent two years.
社団法人日本肝臓学会の論文