title: [The portal vein reconstruction during operations for hepatocellular carcinoma].
abstract: There was the objective to improve the results of treatment in patients, suffering hepatocellular carcinoma (HCC) with vena cava invasion by the tumor. In the main group a hepatic resection with the portal vein resection and portoplasty was performed in 21 patients, suffering HCC with vena cava invasion by the tumor of second-third degree (according to J. Shi, 2007); in a control group in 61 patients, suffering the portal vein tumoral invasion of first degree, the hepatic resection only was done. The mortality have constituted 9.5% in the main group and 8.1%--in a control one. The 5-year survival index have constituted 11.5%--in the main group and 25.3%--in a control one. The aggressive surgical tactics application for HCC with portal vein tumoral invasion permits to enhance the indices of the patients far-remote survival.
authors.forename: O G
authors.initials: OG
authors.lastname: Kotenko
authors.forename: A V
authors.initials: AV
authors.lastname: Grinenko
authors.forename: A O
authors.initials: AO
authors.lastname: Popov
authors.forename: A A
authors.initials: AA
authors.lastname: Korshak
authors.forename: A V
authors.initials: AV
authors.lastname: Gusev
authors.forename: D A
authors.initials: DA
authors.lastname: Fedorov
mesh_terms: D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000401:mortality / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008102:Liver Circulation / Q000502:physiology; D008113:Liver Neoplasms / Q000401:mortality / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011169:Portal Vein / Q000473:pathology / Q000601:surgery*; D036542:Tomography, Spiral Computed