nlwxpearo
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 Posted: Thu 0:04, 17 Mar 2011 Post subject: Recurrence after resection of large hepatocellular |
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Large hepatocellular carcinoma recurrence after surgical resection
rcarcinoma [J]. JSurg ,2006,93:600-606. [3] Luo Xiangji, Dr Chan, Wu Meng-chao, et al. Intrahepatic recurrence of hepatocellular carcinoma patients with extrahepatic metastasis effect of re-resection [J]. Chinese Journal of Cancer, 2005,14 (3) :158-160. [4] MatsudaM, FujiiH, KonoH, eta1. Surgicaltreatmentofrecurrenthepatocellularcarcinomabasedonthemodeofrecurrence: repeathepaticresectionorahlationareg0odchoicesforpatientswithre-currentmuhieentriccancer [J]. JHepatobiliaryPancreasSurg, 2001,8 (4) :353-359. [5] ShibataT, KojimaN, TabuchiT, eta1. Transeatheterarterialche. moembolizationthroughcollateralarteriesforhepatocellu! arcarci-nomaafterarterialocclusion [J]. RadiatMed, 1998,16 (4) :251-256. [6] JonasS, SteinmullerT, SettmacherU, eta1. LivertransplantationforrecurrenthepatocellularcarcinomainEurope [J]. JHepatobili-aryPancreatSurg, 2001,8 (5) :422-426. (This editorial Geng Xiaoping) What is a T1 gallbladder surgery on the appropriate scope / DongDoYou / / AnnSurg, 2008; 247:835-838 gallbladder is one of the common bile duct cancer,[link widoczny dla zalogowanych], early gallbladder cancer is defined as limited to the mucosa ( Tla) or muscle (Tlb) of the gallbladder. For Tla gallbladder,[link widoczny dla zalogowanych], cholecystectomy alone is sufficient; However, for Tlb gallbladder, is used to implement simple cholecystectomy or radical resection, is still in dispute. So the author in January 1995 ~ February 2007 South Korea Samsung Medical Center were 290 cases of gallbladder surgery patients, and 52 patients with pathologic stage was T1 in the case of a retrospective data analysis of 27 cases in which T1a ( 52%), Tlb of 25 patients (48%), analysis including clinicopathological features, surgical resection and survival. The results showed that patients were not found in all T1a of lymph node metastasis or lymphatic and perineural invasion, but 25 cases Tlb of patients, 2 patients (3.8%) had lymph node metastases, 1 patient (1.9%) had lymph node invasion . 52 cases, 21 cases (4.3%) received a simple cholecystectomy. Regardless of surgical approach (laparoscopic or traditional open surgery) did not appear peritoneal metastasis. Tlb received radical surgery of 23 patients (44.2%) patients, 6 cases (I1.5%) had cholecystectomy and liver ligament lymph node dissection (CholeLN),[link widoczny dla zalogowanych], 17 patients were CholeLN hepatic V segment and segment IVb hepatic wedge resection, bile duct resection or pancreaticoduodenectomy. Whether the joint near the organ removal manner, with local recurrence,[link widoczny dla zalogowanych], distant metastasis and survival were not significantly different terms. Patients were followed up for 3 to 145 months, with a median time of 37.5 months, 2 patients (3.8%) died in the postoperative follow-up period. Overall survival for all patients was 96.2%, Tla group and Tlb group were 96.3% and 96%. Therefore, according to results of that: when imaging suspected early gallbladder cancer,[link widoczny dla zalogowanych], suggested by endoscopic ultrasonography or intraoperative frozen biopsy and further assessment of tumor invasion. If the tumor stage as Tla period, pure laparoscopic or open cholecystectomy can effect a cure, if Tlb period recommended cholecystectomy and liver ligament lymph node dissection, without the need for large-scale The combined organs removed. (Excerpt Liu Fu Bao Liu Nian revision)
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