진행성 간세포암종에서의 외과적 치료

Abstract

Hepatic resection has been accepted as one of the most effective treatments for hepatocelluar carcinoma. The various advancements in both operative procedures and perioperative patient management have made the hepatic resection safer and the indications for resection have been also expanded. Recently the International Cooperative Study Group for hepatocellular carcinoma proposed a new staging based on data form multiple centers across the world. According to this new staging, the paradigm of managing advanced hepatocellular carcinoma is being changed. Therefore the experiences on the surgical approach to various situations such as larger HCC above 10cm in diameter, vascular invasion and lymph node involvement were reviewed.