[Hepatectomy and perisurgical management for heavy drinker with hepatocellular carcinoma].
Hepatic resection is the first choice of treatment for hepatocellular carcinoma (HCC), and has the best results among the therapeutic options. Preoperative evaluation of liver function in patients and perioperative management for patients, to prevent postoperative complications, are very important. Postoperative pulmonary complications, including pneumonia and atelectasis, were frequently shown in patients who had past history of heavy alcohol-intake. Postoperative pulmonary complications in heavy drinkers were associated with their habit of smoking. Temperance and non-smoking should be required, when hepatectomy will be performed for heavy drinker.
Nakayama
Hisashi
H
Department of Digestive Surgery, Nihon University School of Medicine, Ohyaguchi-Kamimachi, Itabashiku, Tokyo 173-8610, Japan.
Takayama
Tadatoshi
T
Hemmi
Akihiro
A
D000437:Alcoholism / Q000150:complications*; D006528:Carcinoma, Hepatocellular / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D019990:Perioperative Care; D011183:Postoperative Complications / Q000517:prevention & control*