[Results of surgical treatment of primary liver cancer].
Using a single institution experience, the authors examine hepatic resections in treatment of primary liver cancer (PLC), the postoperative complications and mortality. Seventy-three patients were operated on between January 1991 and December 2000 and identified in a retrospective database. They were 53 men and 20 women of mean age 54.6 (from 1 to 78 years). Of the 73 operated patients with PLC, 53 underwent hepatic resection. Two patients had PLC at stage II, 43--stage III, 8--stage IV. 25 (34%) patients had underlying cirrhosis: 14--Child A and 11--Child B. 34 patients underwent major resections and 19--minor resections. 7 patients (13.2%) died of the hepatic resection--by the 30-th day. Mortality among cirrhotic patients was 25% (4 patients). 16 patients had postoperative complications. 6 patients developed liver failure. Hepatic resection is a basic method in treatment of the PLC. The presence of cirrhosis, especially Child B, increases surgical morbidity and mortality.
Gaĭdarski
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Frangov
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D000293:Adolescent; D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000401:mortality / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006498:Hepatectomy; D006801:Humans; D007223:Infant; D008103:Liver Cirrhosis / Q000150:complications; D008113:Liver Neoplasms / Q000150:complications / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D012189:Retrospective Studies