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Right trisegmentectomy for hepatic neoplasms

Starzl, TE and Koep, LJ and Weil, R and Lilly, JR and Putnam, CW and Aldrete, JA (1980) Right trisegmentectomy for hepatic neoplasms. Surgery Gynecology and Obstetrics, 150 (2). 208 - 214. ISSN 0039-6087

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Abstract

Thirty patients had right trisegmentectomy for 19 primary hepatic malignant tumors, 7 localized liver metastases and four benign lesions. A technical refinement that aided resection of bulky posterior and superior tumors was intrahepatic identification and control of the right hepatic vein. The operative mortality was 3.3%. Late hepatic insufficiency was not observed. More than one-half of the patients operated upon a year or more ago for primary hepatic malignant growths had a tumor-free state at the 12 month follow-up period. Beyond this time, there was only one recurrence. The results in children were twice as good as in adults. The results in treating localized liver metastases from distant primary sites were inferior to those in treating primary hepatic tumors. A hypothetical case was made for combining hepatic resection with adjuvant chemotherapy, even though our experience could not be construed as direct support for this practice.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Starzl, TEtes11@pitt.eduTES11
Koep, LJ
Weil, R
Lilly, JR
Putnam, CW
Aldrete, JA
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 21 March 1980
Date Type: Publication
Journal or Publication Title: Surgery Gynecology and Obstetrics
Volume: 150
Number: 2
Page Range: 208 - 214
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0039-6087
Other ID: uls-drl:31735062114081, Starzl CV No. 440
Date Deposited: 08 Apr 2010 17:07
Last Modified: 14 Oct 2017 11:55
URI: http://d-scholarship.pitt.edu/id/eprint/3826

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