Radical liver resection following downstaging of hepatocellular carcinoma by transcatheter arterial chemoembolization
- VernacularTitle:肝细胞癌肝动脉栓塞化疗降期治疗后根治性切除
- Author:
Wenping LU
;
Zhihua LI
;
Shuguang WANG
;
Ping BIE
;
Jiahong DONG
- Publication Type:Journal Article
- Keywords:
Liver cancer;
Downstaging treatment;
Transcatheter arterial chemoembolization;
Liver resection
- From:
Chinese Journal of Digestive Surgery
2008;7(3):186-188
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility of radical liver resection following downstaging of hepatocellular carcinoma (HCC) by transcatheter arterial chemoembolization (TACE). Methods Eleven patients with HCC underwent radical liver resection after downstaging of HCC by TACE from January 1991 to June 2002, then the clinical features, intraoperative blood loss, postoperative complications and survival time were studied. Results All patients received the radical liver resection successfully, and the mean intraoperative blood loss and operative time of all the patients Was 1336.4ml (110-3200ml) and 272.8 minutes (210-390 minutes), respectively. Each of the 6 patients had an amount of blood loss more than 1000ml. The postoperative complications included bile leakage (3 patients) and ascites (1 patient), with total incidence of 36%. The median survival time was 61.5 months, and the number of patients survived for 1, 2, 3 years was 8, 7, 6, respectively. Conclusion Radical liver resection after downstaging of HCC by TACE is safe and feasible.
