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Central bisectionectomy for centrally located hepatocellular carcinoma

Authors
 J. G. Lee  ;  S. B. Choi  ;  K. S. Kim  ;  J. S. Choi  ;  W. J. Lee  ;  B. R. Kim 
Citation
 BRITISH JOURNAL OF SURGERY, Vol.95(8) : 990-995, 2008 
Journal Title
 BRITISH JOURNAL OF SURGERY 
ISSN
 0007-1323 
Issue Date
2008
MeSH
Adult ; Aged ; Bile Ducts/injuries* ; Carcinoma, Hepatocellular/mortality ; Carcinoma, Hepatocellular/pathology ; Carcinoma, Hepatocellular/surgery* ; Female ; Hepatectomy/adverse effects ; Hepatectomy/methods* ; Hepatectomy/standards ; Humans ; Liver/pathology* ; Liver/surgery ; Liver Neoplasms/mortality ; Liver Neoplasms/pathology ; Liver Neoplasms/surgery* ; Male ; Middle Aged ; Neoplasm Recurrence, Local ; Postoperative Complications/etiology* ; Tomography, X-Ray Computed ; Treatment Outcome
Keywords
Adult ; Aged ; Bile Ducts/injuries* ; Carcinoma, Hepatocellular/mortality ; Carcinoma, Hepatocellular/pathology ; Carcinoma, Hepatocellular/surgery* ; Female ; Hepatectomy/adverse effects ; Hepatectomy/methods* ; Hepatectomy/standards ; Humans ; Liver/pathology* ; Liver/surgery ; Liver Neoplasms/mortality ; Liver Neoplasms/pathology ; Liver Neoplasms/surgery* ; Male ; Middle Aged ; Neoplasm Recurrence, Local ; Postoperative Complications/etiology* ; Tomography, X-Ray Computed ; Treatment Outcome
Abstract
BACKGROUND: Central bisectionectomy, which involves the removal of the central hepatic segments (IVA, IVB, V, VIII) for hepatocellular carcinoma (HCC), is performed to reduce the volume of resected liver and to overcome the problem of insufficient future residual volume. METHODS: Twenty-seven patients with HCC underwent central bisectionectomy from January 1998 to April 2007 in one hospital. The surgical techniques, clinicopathological characteristics and outcomes were reviewed. RESULTS: The median operating time was 330 min. Twelve patients developed postoperative complications and two died. The most common complication, occurring in five patients, was bile duct injury leading to biloma or bile leakage. Median follow-up was 19.1 (range 1.4-102.2) months and eight patients developed a recurrence. Twenty-four patients were alive at the time of writing. CONCLUSION: Although biliary complications occur somewhat frequently, central bisectionectomy in centrally located HCC can be performed safely to preserve liver volume
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/bjs.6130/abstract
DOI
10.1002/bjs.6130
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Kim, Byong Ro(김병로)
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
Choi, Sae Byeol(최새별)
Choi, Jin Sub(최진섭)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107157
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