Liver resection for huge tumors in heaptic caudate lobe
10.3760/cma.j.issn.1007-8118.2010.02.006
- VernacularTitle:手术切除治疗肝脏尾状叶巨大肿瘤
- Author:
Jiamei YANG
;
Peng LIU
;
Wenyang NIU
;
Tong KAN
;
Feng XIE
;
Chengjun SUI
;
Dianqi LI
;
Yanming ZHOU
- Publication Type:Journal Article
- Keywords:
Liver neoplasm;
Hepatectomy;
Caudate lobe
- From:
Chinese Journal of Hepatobiliary Surgery
2010;16(2):99-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the techniques and the effects of resection of giant hepatic tumors in the caudate lobe of the liver. Methods The clinical data of 33 patients with primary liver carcinoma or benign tumor (>10 cm) in the caudate lobe of the liver surgically treated in our hospital from January 2000 to January 2007 were retrospectively analyzed. Results The total of 33 huge liver tumors with a median diameter of 12.3 cm (10.2-15.3cm) were successfully resected. The types of the hepatectomies conducted were as follows:isolated total caudate lobectomy in 7cases, partial cau-date lobectomy in 8, caudate lobectomy plus other extended hepatectomy in 18. The median operative time was 218 min (120-360 min) and the median intraoperative blood loss 958 ml (400-7000 ml),with operative mortality and morbidity being 0 and 27%, respectively. The postoperative 1-, 3- and 5-year survival rates for the patients with primary liver cancer were 76 %,52% and 24%, respectively. Con-clusion The hepatic tumors of caudate lobe, when larger than 10 cm in diameter, frequently involves all the hepatic portal,hepatocaval confluence and retrohepatic IVC. Though it is sophisticated in tech-nique, surgical resection of this kind of tumor is safe, effective and of the first choice.
