Surgical strategy for hepatocellular carcinoma originating in the caudate lobe

The prognosis of hepatocellular carcinoma originating in or mainly involving the caudate lobe (caudate HCC) is generally poor. We reviewed the clinicopathologic findings of patients who underwent liver resection of caudate HCC and correlated the outcome with the surgical strategy. Records of 402 pat...

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Bibliographic Details
Published in:Surgery 2004-06, Vol.135 (6), p.595-603
Main Authors: Yamamoto, Takatsugu, Kubo, Shoji, Shuto, Taichi, Ichikawa, Tsuyoshi, Ogawa, Masao, Hai, Seikan, Sakabe, Katsu, Tanaka, Shogo, Uenishi, Takahiro, Ikebe, Takashi, Tanaka, Hiromu, Kaneda, Kenji, Hirohashi, Kazuhiro
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma, Hepatocellular - mortality
Carcinoma, Hepatocellular - pathology
Carcinoma, Hepatocellular - surgery
Female
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Hepatectomy - adverse effects
Hepatectomy - methods
Humans
Liver Neoplasms - pathology
Liver Neoplasms - surgery
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - mortality
Portal Vein - pathology
Retrospective Studies
Survival Analysis
Tumors
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Summary:The prognosis of hepatocellular carcinoma originating in or mainly involving the caudate lobe (caudate HCC) is generally poor. We reviewed the clinicopathologic findings of patients who underwent liver resection of caudate HCC and correlated the outcome with the surgical strategy. Records of 402 patients who underwent liver resection for HCC were reviewed. The patients were divided into 2 groups. One group consisted of 15 patients who underwent liver resection for caudate HCC. The other group included 387 patients with HCC in a site other than the caudate lobe. Anatomic resection of Couinaud segment I or IX (a partial caudate lobectomy), conforming to portal anatomy, was performed in 13 patients with caudate HCC, and segmentectomies of segments I and IX (a total caudate lobectomy) were performed in 2 patients with caudate HCC. The incidence of postoperative complications was similar in the caudate HCC group and HCC in other sites group, with no operative deaths in the caudate HCC group. Tumor-free survival and cumulative survival were similar in the 2 groups. However, among patients with caudate HCC, tumor-free and cumulative survival were lower in patients with than without microscopic portal venous involvement ( P
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2003.10.015