Ninety cases of surgically treated recurrent hepatocellular carcinoma is reported with analysis of the machanism of recurrence and factors affecting tumor recurrence. Early detection of recurrence depends of AFP measurements and ultrasonography followup monitoring after resection. Hepatic resection is the first choice of treatment whenever it is feasible. Intratumor ethanol injection and transcatheter arterial chemoembolization during operation has been beneficial in some patients with unresectable recurrent hepatocellular carcinoma. These results suggest that reoperation for recurrent hepatocellular carcinoma may be an approach to improve the longterm survival after hepatic resection.
Citation:
李相成,王学浩,杜竞辉,赵中辛,张峰,钱建民. SURGICALTREATMENTOFRECURRENTHEPATOCELLULARCARCINOMA(A REPORT OF 90 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1997, 4(3): 150-152. doi:
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Belghiti J, Panis Y, Farges O, et al. Intrahepatic recurrence after resection of hepatocellular carcinoma complicating cirrhosis. Ann Surg, 1991; 214∶114.
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Zhou XD, Tang ZY, Yu YQ, et al. Surgical treatment of recurrent hepatocellular carcinoma. HepatoGastroenterol, 1993; 40∶3333Ouchim K, Matsubara S, Fukuhara K, et al. Recurrence of hepatocellular carcinoma in the liver remnant after hepatic resection Am J Surg, 1993; 16(9)∶2704Liang XH. Resection of hepatocellular carcinoma oligocentric origin recurrent and multinodular tumors. J Gastroenterol Hepatol, 1991; 6∶775Kanematsu T, Matsumata T, Takenakak,et al. Clinical management of recurrent hepatocellular carcinoma after primary resection. Br J Surg, 1988; 75∶2036Kakazu. Repeat hepatic resection for recurrent hepatocellular carcinoma. HepatoGastroenterol, 1993; 40∶3377Okazaki M. Chemoembolotherapy for recurrent hepatocellular carcinoma in the residual liver after hepatectomy. Hepatogastroenterol, 1993; 40∶320.
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- 1. Belghiti J, Panis Y, Farges O, et al. Intrahepatic recurrence after resection of hepatocellular carcinoma complicating cirrhosis. Ann Surg, 1991; 214∶114.
- 2. Zhou XD, Tang ZY, Yu YQ, et al. Surgical treatment of recurrent hepatocellular carcinoma. HepatoGastroenterol, 1993; 40∶3333Ouchim K, Matsubara S, Fukuhara K, et al. Recurrence of hepatocellular carcinoma in the liver remnant after hepatic resection Am J Surg, 1993; 16(9)∶2704Liang XH. Resection of hepatocellular carcinoma oligocentric origin recurrent and multinodular tumors. J Gastroenterol Hepatol, 1991; 6∶775Kanematsu T, Matsumata T, Takenakak,et al. Clinical management of recurrent hepatocellular carcinoma after primary resection. Br J Surg, 1988; 75∶2036Kakazu. Repeat hepatic resection for recurrent hepatocellular carcinoma. HepatoGastroenterol, 1993; 40∶3377Okazaki M. Chemoembolotherapy for recurrent hepatocellular carcinoma in the residual liver after hepatectomy. Hepatogastroenterol, 1993; 40∶320.