Hepatic resection in 125 patients
T. Tsuzuki, Y. Ogata, S. Iida and M. Shimazu
Hepatic resection was performed in 125 patients. Ninety-three of the 125
patients had malignant neoplasms; primary liver carcinoma in 61, metastatic
liver carcinoma in 15, carcinoma of the bifurcation of the hepatic ducts in
16, and carcinoma of the gallbladder in one. Performance of hepatic
resection was complicated by the presence of liver cirrhosis and jaundice
in 42 and 19 patients, respectively. Nine of the 125 patients died within
30 days of the operations, with an operative mortality of 7.2%. Eight of
the nine deaths were due to liver failure in the cirrhotic patients who
underwent resection of more than two segments of the liver. None of the
jaundiced patients died postoperatively. The three-year actuarial survival
rates of the patients with hepatocellular carcinoma, metastatic liver
carcinoma, and carcinoma of the bifurcation of the hepatic ducts were 31%,
56%, and 21% respectively.
