Reoperation of postoperative recurrent hepatocellular carcinomia

Objective To evaluate the curative effect of reoperation on postoperative recurrent hepatocellular carcinoma (HCC). Methods From Jan. 1995 to Dec. 1998,18 recurrent HCC patients underwent 27 sessions of reoperation in our hospital. Results The mean interval between first and second operation among 18 patients was 39 ± 14 months, and for the 9 cases, in which cancer recurred after second surgery, the mean interval between the second and the third operation was 21 ± 4. 5 months (P 【 0. 01). Seven patients died from 9 to 13 months after the tertiary operation. In these 18 recurrent HCC cases, the number of cancer focus was 1.9± 0.3, while in the 9 cases, in which cancer recurred after the second surgery, the number rose to 2. 8 ± 0. 6 ( P 【 0. 05). Conclusion Reoperation whenever the patient ’ s condition allows is effective in prolonging the survival of postoperative recurrent HCC patients. 6 refs,1 tab. June 2003 Vol12

Objective To evaluate the curative effect of reoperation on postoperative recurrent hepatocellular carcinoma (HCC). Methods From Jan. 1995 to Dec. 1998,18 recurrent HCC patients underwent 27 sessions of reoperation in our hospital. Results The mean interval between first and second operation among 18 patients was 39 ± 14 months, and for the 9 cases, in which cancer recurred after second surgery, the mean interval between the second and the third operation was 21 ± 4. 5 months (P < 0. 01). Seven patients died from 9 to 13 months after the tertiary operation. In these 18 recurrent HCC cases, the number of cancer focus was 1.9± 0.3, while in the 9 cases, in which cancer recurred after the second surgery, the number rose to 2. 8 ± 0. 6 ( P < 0. 05). Conclusion Reoperation whenever the patient ' s condition allows is effective in prolonging the survival of postoperative recurrent HCC patients. 6 refs,1 tab. June 2003 Vol12 No2