Document Detail


Advances in the treatment of hepatocellular carcinoma and concomitant esophageal varices.
MedLine Citation:
PMID:  2174824     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty-four patients with hepatocellular carcinoma (HCC) concomitant with esophageal and/or cardial varices concurrently underwent hepatic resection for HCC and various treatments for varices. All patients had cirrhosis of the liver, and had either blue or white varices with "red color signs" endoscopically. These patients were assigned to two groups. Group A patients simultaneously underwent partial hepatectomy and selective shunt or direct interruption procedures (n = 13). Group B patients underwent hepatic resection and devascularization of the upper half of the stomach and/or preoperative or postoperative endoscopic injection sclerotherapy (n = 11). Seven patients in Group A had a tumor recurrence 4 to 58 months postoperatively, while in Group B, one of 11 patients had a tumor recurrence in the remnant liver. There was one patient in Group A with postoperative rebleeding from esophageal varices, and there was neither variceal bleeding nor variceal recurrence after treatment in Group B. Liver failure was the immediate cause of death in five, including three in-hospital deaths in Group A. Survival rates during the first 5 years in Group A were 75%, 67%, 31%, 21% and 10%, while the four-year survival rate in group B was 100%. In the light of this evidence, the treatment given to Group B is to be preferred.
Authors:
T Matsumata; T Kanematsu; K Shirabe; K Takenaka; S Kitano; K Sugimachi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  37     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1991-01-24     Completed Date:  1991-01-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  461-4     Citation Subset:  IM    
Affiliation:
Second Department of Surgery, Kyushu University, Faculty of Medicine, Fukuoka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carcinoma, Hepatocellular / complications,  mortality,  surgery*
Esophageal and Gastric Varices / complications,  surgery,  therapy*
Female
Hepatectomy
Humans
Liver Neoplasms / complications,  mortality,  surgery*
Male
Middle Aged
Neoplasm Recurrence, Local
Portasystemic Shunt, Surgical
Sclerotherapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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