[Segmentectomy for hepatoma originated from segment IX].
OBJECTIVE
To report the procedure of segmentectomy for hepatoma located in segment IX.


METHODS
11 cases of hepatoma originated from segment IX were treated by segmentectomy without interruption of blood flow of the liver. Among total 11 cases, 10 cases were primary liver cancer, the other one was secondary liver cancer.


RESULTS
Tumor diameters from 6 to 14 cm (median 9.2 cm), no perioperative death occurred in this group. Intraoperative blood losses were 200-600 ml (median 350 ml) without severe postoperative complications. Postoperative hospitalization time were 9-14 days (median 11 days). Transhepatic artery chemoembolization (TACE) was given at 4-6 weeks after operation and repeated at intervals of 2 to 4 months for 1 year. During the follow up time of 5-29 months (media 17 months), 10 patients were tumor-free and 1 patient developed an intrahepatic metastasis.


CONCLUSIONS
Segmentectomy without interruption of blood flow of the liver is safe and practical for hepatoma located in segment IX.
Wu
Zhi-quan
ZQ
Liver Cancer Institute, Zhongshan Hospital of Fudan University, Shanghai 200032, China.
Fan
Jia
J
Qiu
Shuang-jian
SJ
Zhou
Jian
J
Tang
Zhao-you
ZY
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D016461:Chemoembolization, Therapeutic; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D008297:Male; D008875:Middle Aged