Hepatic resection and percutaneous ethanol injection for the treatment of selected patients with more than one hepatocellular carcinoma

Citation
G. Belli et al., Hepatic resection and percutaneous ethanol injection for the treatment of selected patients with more than one hepatocellular carcinoma, EURO J SURG, 165(7), 1999, pp. 647-651
Citations number
21
Categorie Soggetti
Surgery
Journal title
EUROPEAN JOURNAL OF SURGERY
ISSN journal
11024151 → ACNP
Volume
165
Issue
7
Year of publication
1999
Pages
647 - 651
Database
ISI
SICI code
1102-4151(199907)165:7<647:HRAPEI>2.0.ZU;2-H
Abstract
Objective: To report our results in a selected series of patients who had t wo separate hepatocellular carcinomas that were not suitable for treatment by resection alone or percutaneous injection of ethanol alone, whom we trea ted by a combination of the two. Design: Open study. Setting: Teaching hospital, Italy. Subjects: 11 patients with Child's grade A or B cirrhosis who had two hepat ocellular carcinomas in distant segments of the liver. Interventions: Percutaneous injection of ethanol into the smaller of the tw o nodules before, during, or after resection. Main outcome measures: Morbidity, mortality, and recurrence. Results: No patient died and there was one postoperative complication (atel ectasis). During a median follow-up period of 24 months (range 8-48) two pa tients have developed recurrences (at 10 and 18 months). Conclusion: Although we have studied only a few patients for a relatively s hort time this double approach may be an important treatment option for sui table patients with two hepatocellular carcinomas.