Cited 2 times in
Ventral Segment-Preserving Right Hepatectomy in Patients with Hepatocellular Carcinoma
DC Field | Value | Language |
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dc.contributor.author | 김경식 | - |
dc.contributor.author | 임진홍 | - |
dc.contributor.author | 최기홍 | - |
dc.contributor.author | 최진섭 | - |
dc.date.accessioned | 2018-03-26T17:13:38Z | - |
dc.date.available | 2018-03-26T17:13:38Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0364-2313 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/157381 | - |
dc.description.abstract | BACKGROUND: Transection along the anterior fissure was proposed as a mechanism by which to open the third door of the liver. In this study, we investigated surgical outcomes of a ventral segment-preserving right hepatectomy (VSPRH) compared with those of conventional right hepatectomy in patients with hepatocellular carcinoma (HCC). METHODS: Between January 2007 and December 2010, 595 primary HCC patients underwent liver resection at the authors' institution. Among them, the 123 HCC patients who underwent a right hepatectomy were retrospectively analyzed. The patients were classified into two groups according to the type of resection: those who underwent a VSPRH (Group A; 27 cases) and those who underwent a conventional right hepatectomy (Group B; 96 cases). RESULTS: In Group A, expected remnant liver volume after a right hepatectomy was calculated to be 32.1 ± 7.2% of functional total liver volume (FTLV); remnant liver volume increased up to 54.7 ± 7.2% of FTLV after a VSPRH. Clinicopathologic characteristics and intraoperative data did not differ between the two groups. The liver-related complication rate was higher in Group B (P = 0.02). Overall survival and disease-free survival rates were similar (3-year disease-free survival (Group A: 67.8%; Group B: 71.7%; P = 0.65); 3-year overall survival (Group A: 91.7%; Group B: 87.4%; P = 0.26). In regard to long-term synthetic function, the 1-year postoperative serum albumin level was higher in Group A. CONCLUSIONS: A VSPRH yielded fewer liver-related complications and similar long-term oncologic outcomes, compared with conventional right hepatectomy in cirrhotic patients with a small left lobe volume. Therefore, VSPRH can be considered to be an alternative procedure for a right hepatectomy. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer International | - |
dc.relation.isPartOf | WORLD JOURNAL OF SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Carcinoma, Hepatocellular/surgery* | - |
dc.subject.MESH | Disease-Free Survival | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hepatectomy/adverse effects | - |
dc.subject.MESH | Hepatectomy/methods* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Liver/pathology* | - |
dc.subject.MESH | Liver/physiopathology | - |
dc.subject.MESH | Liver/surgery | - |
dc.subject.MESH | Liver Neoplasms/surgery* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neoplasm Recurrence, Local* | - |
dc.subject.MESH | Organ Size | - |
dc.subject.MESH | Organ Sparing Treatments* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Serum Albumin/metabolism | - |
dc.subject.MESH | Survival Rate | - |
dc.title | Ventral Segment-Preserving Right Hepatectomy in Patients with Hepatocellular Carcinoma | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Surgery | - |
dc.contributor.googleauthor | Jin Hong Lim | - |
dc.contributor.googleauthor | Gi Hong Choi | - |
dc.contributor.googleauthor | Sung Hoon Choi | - |
dc.contributor.googleauthor | Hyung Soon Lee | - |
dc.contributor.googleauthor | Kyung Sik Kim | - |
dc.contributor.googleauthor | Jin Sub Choi | - |
dc.identifier.doi | 10.1007/s00268-014-2894-3 | - |
dc.contributor.localId | A00299 | - |
dc.contributor.localId | A03411 | - |
dc.contributor.localId | A04046 | - |
dc.contributor.localId | A04199 | - |
dc.relation.journalcode | J02802 | - |
dc.identifier.eissn | 1432-2323 | - |
dc.identifier.pmid | 25446484 | - |
dc.identifier.url | https://link.springer.com/article/10.1007%2Fs00268-014-2894-3 | - |
dc.subject.keyword | Hepatic Vein | - |
dc.subject.keyword | Bile Leakage | - |
dc.subject.keyword | Liver Volume | - |
dc.subject.keyword | Portal Vein Embolization | - |
dc.subject.keyword | Middle Hepatic Vein | - |
dc.contributor.alternativeName | Kim, Kyung Sik | - |
dc.contributor.alternativeName | Lim, Jin Hong | - |
dc.contributor.alternativeName | Choi, Gi Hong | - |
dc.contributor.alternativeName | Choi, Jin Sub | - |
dc.contributor.affiliatedAuthor | Kim, Kyung Sik | - |
dc.contributor.affiliatedAuthor | Lim, Jin Hong | - |
dc.contributor.affiliatedAuthor | Choi, Gi Hong | - |
dc.contributor.affiliatedAuthor | Choi, Jin Sub | - |
dc.citation.volume | 39 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 1034 | - |
dc.citation.endPage | 1043 | - |
dc.identifier.bibliographicCitation | WORLD JOURNAL OF SURGERY, Vol.39(4) : 1034-1043, 2015 | - |
dc.identifier.rimsid | 42406 | - |
dc.type.rims | ART | - |
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