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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.12
- 수록면
- 218 - 224 (7page)
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초록· 키워드
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Backgrounds/Aims: By reviewing difficult resections for advanced hepatic malignancies, we discuss the effectiveness and extended indications for hepatectomy in such patients. Methods: We reviewed 7 patients who underwent extensive surgery between July 2008 and March 2011 for advanced hepatic malignancies. They had stage IV disease, except for in one case that was a stage IIIC (T4N0M0) hepatocellular carcinoma (HCC). Results: Patient 1 with intrahepatic cholangiocarcinoma (IHCC) underwent right hemihepatectomy and resection of the bile duct and left portal vein. At 39 months after surgery, she had no recurrence or metastasis. Patient 2 with HCC underwent palliative right trisectionectomy. At 38 months after surgery, he is alive despite residual pulmonary metastases. Patient 3 with HCC invading the hepatic vein and diaphragm underwent right trisectionectomy and caval venoplasty. At 12 months after surgery, he had no recurrence or metastasis. Patient 4, who had 2 large HCCs and pulmonary thromboembolism, underwent a right trisectionectomy. At 7 months after surgery, he had no evidence of recurred HCC. Patient 5, who had IHCC invading her inferior vena cava and main portal vein, underwent preoperative radiotherapy, left hemihepatectomy, and caval resection. At 20 months after surgery, she is well despite a caval thrombus. Patient 6 and 7 underwent repeated surgery due to a recurred IHCC and metastatic colon cancer, respectively. In addition, they are alive during each 20 and 17 months after surgery. Conclusions: Despite macroscopic extrahepatic metastases or major vessel involvement, extensive surgery for advanced hepatic malignancy may result in relatively favorable outcomes and be important modality for improving of survival in such patients. (Korean J Hepatobiliary Pancreat Surg 2011;15:218-224)
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - Borie F / 2008 / Treatment and prognosis of hepatocellular carcinoma: a population based study in France / J Surg Oncol 98 : 505 ~ 509
2. [학술지(정기간행물)] - Lau WY / 2007 / Salvage surgery following downstaging of unresectable hepatocellular carcinoma--a strategy to increase resectability / Ann Surg Oncol 14 : 3301 ~ 3309
3. [학술지(정기간행물)] - Chen XP / 2006 / Effects of location and extension of portal vein tumor thrombus on long-term outcomes of surgical treatment for hepatocellular carcinoma / Ann Surg Oncol 13 : 940 ~ 946
4. [학술지(정기간행물)] - Ng KK / 2005 / International Cooperative Study Group on Hepatocellular Carcinoma. Is hepatic resection for large or multinodular hepatocellular carcinoma justified? Results from a multi-institutional database / Ann Surg Oncol 12 : 364 ~ 373
5. [학술지(정기간행물)] - Chirica M / 2008 / Treatment of stage IVA hepatocellular carcinoma: should we reappraise the role of surgery / Arch Surg 143 : 538 ~ 543
2. [학술지(정기간행물)] - Lau WY / 2007 / Salvage surgery following downstaging of unresectable hepatocellular carcinoma--a strategy to increase resectability / Ann Surg Oncol 14 : 3301 ~ 3309
3. [학술지(정기간행물)] - Chen XP / 2006 / Effects of location and extension of portal vein tumor thrombus on long-term outcomes of surgical treatment for hepatocellular carcinoma / Ann Surg Oncol 13 : 940 ~ 946
4. [학술지(정기간행물)] - Ng KK / 2005 / International Cooperative Study Group on Hepatocellular Carcinoma. Is hepatic resection for large or multinodular hepatocellular carcinoma justified? Results from a multi-institutional database / Ann Surg Oncol 12 : 364 ~ 373
5. [학술지(정기간행물)] - Chirica M / 2008 / Treatment of stage IVA hepatocellular carcinoma: should we reappraise the role of surgery / Arch Surg 143 : 538 ~ 543
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UCI(KEPA) : I410-ECN-0101-2014-514-001273890