[Resection of small primary liver cancer: clinical analysis of 82 cases].
OBJECTIVE
To determine which clinicopathologic features and surgical modalities are related to the prognosis of small primary liver cancer (SPLC).


METHODS
Eighty-two patients who had under gone operations for SPLC (<or= 5.0 cm in diameter) from 1988 to 1995 were retrospectively studied. 60 patients were HBsAg positive, and 71 patients suffered from liver cirrhosis. Bisegmentectomy, segmentectomy and partial resections were performed in 13, 14 and 55 patients separately.


RESULTS
The overall operative mortality was 1.2%, and the 1-, 3-, 5-year survival rates were 92.7%, 72.5% and 54.3%, respectively. The 5-year survival rates of 78 patients with hepatocellular carcinoma according to histologic features were 79.6%, 49.9% and 41.1% in well-differentiated (15 patients), moderately (53), and poorly differentiated (10) groups. Recurrence and metastasis rates in 1, 3, 5 years were 12.8%, 40.7% and 71.5%, separately.


CONCLUSIONS
SPLC has the same history of large PLC. Early diagnosis and limited hepatic resection are very important to decrease the mortality and increase the survival rate.
Wang
Y
Y
Department of Hepatobiliary Surgery, General Hospital of People's Liberation Army, Beijing 100853.
Liu
Y
Y
Feng
Y
Y
Zhou
N
N
Gu
W
W
Huang
Z
Z
Zhao
H
H
Ji
X
X
D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D016019:Survival Analysis; D015996:Survival Rate