Journal of Liver Cancer

Joon Il Choi

1 Article

Successful Surgical Cases for Advanced Hepatocellular Carcinoma: Hyung-Il Seo, Sang-Jae Park, Sung Wha Hong, Seong Hoon Kim, Soon-Ae Lee, Joon Il Choi, Hyun Bum Kim, Eun Kyung Hong, Joong-Won Park, Chang-Min Kim; Journal of the Korean Liver Cancer Study Group. 2006;6(1):32-37. Published online June 30, 2006

Abstract PDF: Advanced hepatocellular carcinoma (HCC) suggests a significantly high risk of recurrence, and the role of hepatic resection for advanced HCC is unclear. We will describe two cases of advanced HCC treated by hepatic resection. The two patients had liver tumors greater than 10 cm in diameter, with good liver function, and without tumor invasion to the main portal vein. The hepatic resection types were 5, 6 segmentectomy and hemihepatectomy. The lengths of surgical margins were 4.5 cm and 3.0 cm, each. In one patient, tumor invasion to resected diaphragm was detected in the 1st operation specimen. This patient received the second and third operation due to local recurrence. All these patients survived over 3 years without tumor recurrence. The hepatic resection for large HCC and repeated resection for local recurrence in selected cases can put in the way of long-term survival and cure.