Liver Cancer
Copyright ©The Author(s) 2003. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 15, 2003; 9(4): 706-709
Published online Apr 15, 2003. doi: 10.3748/wjg.v9.i4.706
Right trisectionectomy for primary liver cancer
Jing-An Rui, Shao-Bin Wang, Shu-Guang Chen, Li Zhou
Jing-An Rui, Shao-Bin Wang, Shu-Guang Chen, Li Zhou, Department of General Surgery, Peking Union Medical College Hospital, Beijing 100032, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Prof. Jing-An Rui, Department of General Surgery, Peking Union Medical College Hospital, Beijing 100032, China. rlzhou@mail.bjmu.edu.cn
Telephone: +86-10-62091034 Fax: +86-10-62358270
Received: November 19, 2002
Revised: December 25, 2002
Accepted: January 2, 2003
Published online: April 15, 2003
Abstract

AIM: To evaluate the value of right trisectionectomy, previously named right trisegmentectomy, in the treatment of primary liver cancer by summarizing our 13-year experience for this procedure.

METHODS: Thirty three primary liver cancer patients undergoing right trisectionectomy from Apr. 1987 to Dec. 1999 were investigated retrospectively. The impacts in survival of patients by cancerous biological behavior, such as tumor thrombi and satellite nodules, were discussed respectively. All right trisectionectomies were performed under normothermic interruption of porta hepatis at single time. Ultrasonic dissector (CUSA system 200) was used in dissection of hepatic parenchyma from Nov. 1992, instead of finger fracture.

RESULTS: 1-, 3- and 5-year survival rates were 71.9%, 40.6% and 34.4%, respectively. The longest survival term with free cancer was 150 months (alive). There were no significant differences in survival curves between cases with and without tumor thrombi (right branch of portal vein) and satellite nodules. Operative mortality was 3.0% (1/33). Main surgical complications occurred in 5 cases.

CONCLUSION: Right trisectionectomy should be regarded as an effective and safe procedure for huge primary liver cancers and is worth using more widely.

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