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Ventral Segment-Preserving Right Hepatectomy in Patients with Hepatocellular Carcinoma

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dc.contributor.author김경식-
dc.contributor.author임진홍-
dc.contributor.author최기홍-
dc.contributor.author최진섭-
dc.date.accessioned2018-03-26T17:13:38Z-
dc.date.available2018-03-26T17:13:38Z-
dc.date.issued2015-
dc.identifier.issn0364-2313-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/157381-
dc.description.abstractBACKGROUND: 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.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer International-
dc.relation.isPartOfWORLD JOURNAL OF SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCarcinoma, Hepatocellular/surgery*-
dc.subject.MESHDisease-Free Survival-
dc.subject.MESHFemale-
dc.subject.MESHHepatectomy/adverse effects-
dc.subject.MESHHepatectomy/methods*-
dc.subject.MESHHumans-
dc.subject.MESHLiver/pathology*-
dc.subject.MESHLiver/physiopathology-
dc.subject.MESHLiver/surgery-
dc.subject.MESHLiver Neoplasms/surgery*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Recurrence, Local*-
dc.subject.MESHOrgan Size-
dc.subject.MESHOrgan Sparing Treatments*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSerum Albumin/metabolism-
dc.subject.MESHSurvival Rate-
dc.titleVentral Segment-Preserving Right Hepatectomy in Patients with Hepatocellular Carcinoma-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthorJin Hong Lim-
dc.contributor.googleauthorGi Hong Choi-
dc.contributor.googleauthorSung Hoon Choi-
dc.contributor.googleauthorHyung Soon Lee-
dc.contributor.googleauthorKyung Sik Kim-
dc.contributor.googleauthorJin Sub Choi-
dc.identifier.doi10.1007/s00268-014-2894-3-
dc.contributor.localIdA00299-
dc.contributor.localIdA03411-
dc.contributor.localIdA04046-
dc.contributor.localIdA04199-
dc.relation.journalcodeJ02802-
dc.identifier.eissn1432-2323-
dc.identifier.pmid25446484-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00268-014-2894-3-
dc.subject.keywordHepatic Vein-
dc.subject.keywordBile Leakage-
dc.subject.keywordLiver Volume-
dc.subject.keywordPortal Vein Embolization-
dc.subject.keywordMiddle Hepatic Vein-
dc.contributor.alternativeNameKim, Kyung Sik-
dc.contributor.alternativeNameLim, Jin Hong-
dc.contributor.alternativeNameChoi, Gi Hong-
dc.contributor.alternativeNameChoi, Jin Sub-
dc.contributor.affiliatedAuthorKim, Kyung Sik-
dc.contributor.affiliatedAuthorLim, Jin Hong-
dc.contributor.affiliatedAuthorChoi, Gi Hong-
dc.contributor.affiliatedAuthorChoi, Jin Sub-
dc.citation.volume39-
dc.citation.number4-
dc.citation.startPage1034-
dc.citation.endPage1043-
dc.identifier.bibliographicCitationWORLD JOURNAL OF SURGERY, Vol.39(4) : 1034-1043, 2015-
dc.identifier.rimsid42406-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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