Abstracts Poster Abstracts - Dr Falk

96Hepatectomy for huge HCCJing-An Rui*‡, Li Zhou* and Shao-Bin Wang**Department of General Surgery, Peking Union Medical College Hospital, Beijing, China‡The Aerospace Clinical Medical College of Peking UniversityIntroduction: Hepatocellular carcinoma (HCC) is the more common cancer and thesecond cancer death in China.Methods: From 1995 to 2002, 179 cases of hepatectomy for huge HCC were performedin our hospital. Of them, 155 (86.6%) were males and 24 (13.4%) females; ages rangedfrom 15 to 77 years (mean ± SD, 56.3 ± 13.7 years); 138 (77.1%) were HBsAg-positive;144 cases (80.4%) with liver cirrhosis; in 63 patients (35.2%) serum "-fetoprotein (AFP)was higher than 400 ng/ml; the tumor sizes ranged from 5 to 30 cm. TNM Stagingrevealed that 75 in stage II, 60 in stage III, 37 in stage IV A and 7 in stage IV B . Theprocedures were all performed under normothermic interruption of porta hepatis atsingle time. Interruption lasted 15 to 40 minutes. The procedures of hepatectomyincluded right trisectionectomy in 23 patients, left trisectionectomy in 4, extended righthepatectomy in 11, extended left hepatectomy in 3, central hepatectomy in 4, righthepatectomy in 30, left hepatectomy in 14 and others.Results: Postoperative complication rate was 10.6% (19/179); operative mortality within30 days was 1.1%. Postoperative overall and cancer-free survival rates at 1-, 3- and5-years were 82.0%, 51.1% and 40.2%, and 73.1%, 46.0% and 38.1%, respectively.Discussion/Conclusion: Hepatectomy should be regarded as an effective and safeprocedure for huge HCC.