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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1995-6-8
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pubmed:abstractText |
The results of 122 hepatic resections in 112 patients with hepatocellular carcinoma are described. The type of liver resection performed was selected according to the patient's liver function. Forty-nine patients underwent anatomic resections, including 1 trisegmentectomy, 5 lobectomies, 11 segmentectomies, and 32 subsegmentectomies; the remaining 63 patients had nonanatomic resections. The 1-, 2-, and 3-year survivals after liver resection for all patients, taking into account one operative and one hospital death (0.9% each), were 92.4%, 85.0%, and 78.9%, and disease-free survivals at 1, 2, and 3 years were 68.6%, 46.2%, and 32.6%, respectively. Twenty-one repeat hepatic resections (17.2% of the total of 122 resections) were performed with no hospital mortality. Cumulative survival from the time of repeat hepatectomy in these 21 patients was 84.2% and 56.3% at 1 and 2 years, respectively. Among the factors that may affect survival or disease-free survival, the absence of vascular invasion (p < 0.05) and intrahepatic metastases (p < 0.01) were significantly related to the disease-free survival time. A good outcome was obtained after liver resection in 112 patients with hepatocellular carcinoma through appropriate choice of the type of resection, careful follow-up, and a vigorous surgical approach for recurrence.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0364-2313
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
31-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7740807-Adult,
pubmed-meshheading:7740807-Aged,
pubmed-meshheading:7740807-Aged, 80 and over,
pubmed-meshheading:7740807-Carcinoma, Hepatocellular,
pubmed-meshheading:7740807-Disease-Free Survival,
pubmed-meshheading:7740807-Female,
pubmed-meshheading:7740807-Hepatectomy,
pubmed-meshheading:7740807-Humans,
pubmed-meshheading:7740807-Liver Function Tests,
pubmed-meshheading:7740807-Liver Neoplasms,
pubmed-meshheading:7740807-Male,
pubmed-meshheading:7740807-Middle Aged,
pubmed-meshheading:7740807-Neoplasm Staging,
pubmed-meshheading:7740807-Reoperation
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pubmed:articleTitle |
Results of hepatic resection for hepatocellular carcinoma.
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pubmed:affiliation |
First Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
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pubmed:publicationType |
Journal Article
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