Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2003 Apr;9(4):706-9.
doi: 10.3748/wjg.v9.i4.706.

Right trisectionectomy for primary liver cancer

Jing-An Rui  1 , Shao-Bin Wang, Shu-Guang Chen, Li Zhou
Affiliations

Right trisectionectomy for primary liver cancer

Jing-An Rui et al. World J Gastroenterol. 2003 Apr.

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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Survival curve of 32 patients underwent right trisectionectomy except 1 hospital death.
Figure 2
Figure 2
Survival curves of patients. —, with satellite nodules (SN); —, without satellite nodules. P > 0.05, Log rank test.
Figure 3
Figure 3
Survival curves of patients. —, with tumor thrombus (TT); —, without tumor thrombus. P > 0.05, Log rank test.
See this image and copyright information in PMC

References

    1. Pisani P, Parkin DM, Bray F, Ferlay J. Estimates of the world-wide mortality from 25 cancers in 1990. Int J Cancer. 1999;83:18–29. - PubMed
    1. Makuuchi M, Takayama T, Kubota K, Kimura W, Midorikawa Y, Miyagawa S, Kawasaki S. Hepatic resection for hepatocellular carcinoma -- Japanese experience. Hepatogastroenterology. 1998;45 Suppl 3:1267–1274. - PubMed
    1. Yamamoto J, Iwatsuki S, Kosuge T, Dvorchik I, Shimada K, Marsh JW, Yamasaki S, Starzl TE. Should hepatomas be treated with hepatic resection or transplantation? Cancer. 1999;86:1151–1158. - PMC - PubMed
    1. Shen P, Hoffman A, Howerton R, Loggie BW. Cryosurgery of close or positive margins after hepatic resection for primary and metastatic hepatobiliary malignancies. Am Surg. 2002;68:695–703; discussion 703. - PubMed
    1. Pelletier G, Ducreux M, Gay F, Luboinski M, Hagege H, Dao T, Van Steenbergen W, Buffet C, Rougier P, Adler M, et al. Treatment of unresectable hepatocellular carcinoma with lipiodol chemoembolization: a multicenter randomized trial. Groupe CHC. J Hepatol. 1998;29:129–134. - PubMed