TY - JOUR
T1 - Hepatic resection and percutaneous ethanol injection for the treatment of selected patients with more than one hepatocellular carcinoma
AU - Belli, Giulio
AU - Iannelli, Antonio
AU - Romano, Giovanni
AU - Marano, Ines
PY - 1999
Y1 - 1999
N2 - Objective: To report our results in a selected series of patients who had two separate hepatocellular carcinomas that were not suitable for treatment by resection alone or percutaneous injection of ethanol alone, whom we treated 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 hepatocellular carcinomas in distant segments of the liver. Interventions: Percutaneous injection of ethanol into the smaller of the two nodules before, during, or after resection. Main outcome measures: Morbidity, mortality, and recurrence. Results: No patient died and there was one postoperative complication (atelectasis). During a median follow-up period of 24 months (range 8-48) two patients have developed recurrences (at 10 and 18 months). Conclusion: Although we have studied only a few patients for a relatively short time this double approach may be an important treatment option for suitable patients with two hepatocellular carcinomas.
AB - Objective: To report our results in a selected series of patients who had two separate hepatocellular carcinomas that were not suitable for treatment by resection alone or percutaneous injection of ethanol alone, whom we treated 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 hepatocellular carcinomas in distant segments of the liver. Interventions: Percutaneous injection of ethanol into the smaller of the two nodules before, during, or after resection. Main outcome measures: Morbidity, mortality, and recurrence. Results: No patient died and there was one postoperative complication (atelectasis). During a median follow-up period of 24 months (range 8-48) two patients have developed recurrences (at 10 and 18 months). Conclusion: Although we have studied only a few patients for a relatively short time this double approach may be an important treatment option for suitable patients with two hepatocellular carcinomas.
KW - Double hepatocellular carcinoma
KW - Hepatic resection
KW - Hepatocellular carcinoma
KW - Percutaneous ethanol injection
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U2 - 10.1080/11024159950189690
DO - 10.1080/11024159950189690
M3 - Article
C2 - 10452258
AN - SCOPUS:0032811217
VL - 165
SP - 647
EP - 651
JO - European Journal of Surgery, Acta Chirurgica
JF - European Journal of Surgery, Acta Chirurgica
SN - 1102-4151
IS - 7
ER -