Symposium on Hepatocellular Carcinoma : Eastern and Western Experiences. Paris, FRA, 1998/08/28.
In the past 20 years, thanks to the early detection of hepatocellular carcinomas (HCCs), good perioperative care, the evaluation of functional liver reserve, preoperative portal embolization and the improvement in surgical techniques such as intraoperative ultrasonography, the surgical resection of HCC has become very safe.
We have performed 367 hepatectomies on 352 patients since 1990 with a surgical mortality, hospital mortality, blood transfusion rate and 5-year survival rate of 0.27,0.82, ad less than 10 and 47.4%, respectively.
Our standard method for selecting surgical procedures and perioperative care resulting in low blood transfusion rats and almost no mortality are described.
Since 1990, ethanol injection for HCC ablation has been extensively used in Europe and Japan, but results are poorer than with surgical intervention.
Therefore, in patients with small HCCs and good liver function, the first choice treatment should not beethanol injection, but surgical resection.
Mots-clés Pascal : Carcinome hépatocellulaire, Evaluation, Facteur risque, Hépatectomie, Méthodologie, Pronostic, Survie, Japon, Asie, Homme, Article synthèse, Appareil digestif pathologie, Foie pathologie, Tumeur maligne, Chirurgie
Mots-clés Pascal anglais : Hepatocellular carcinoma, Evaluation, Risk factor, Hepatectomy, Methodology, Prognosis, Survival, Japan, Asia, Human, Review, Digestive diseases, Hepatic disease, Malignant tumor, Surgery
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0008075
Code Inist : 002B25G03. Création : 31/05/1999.