Hepatic Angiography in the Selection of Patients with Hepatomas for Hepatic Lobectomy

Gammill, Stephen L.; Takahashi, Manabu; Kawanami, Masaki; Font, Robert; Sparks, Robert

doi:10.1148/101.3.549

Cited by 14 publications

(1 citation statement)

References 5 publications

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“…Der Wert der Angiographie zur Diagnostik von Lebertumoren ist unbestritten [9]. Neben der Erkennung von hypervascularisierten Tumoren (haupts/ichlich Hepatomen) spielt -bei der Diagnostik des Leberechinococcus -die Erkennung avascul~irer Bezirke mit Verdfiingung der normalen GefiiBe eine besondere Rolle.…”

Section: Arterieile Versorgung Und Gefiiflvariationenunclassified

Technik und Ergebnisse bei Leberresektion

Pichlmaier

Grundmann

Grunst

1975

Langenbecks Arch Chiv

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12 major hepatic resections are described. There were two postoperative deaths. 4 patients received more than two blood units intra- or immediately postoperatively (maximal blood loss 5000 and 4400 ml resp.). In 5 patients the operative procedure was performed in hemodilution, in these patients the maximal transfusion rate ranged to one blood unit. In nearly all patients a subphrenic collection of bile, blood and secretion was observed, but this was well treated conservatively. The various operative procedures, the possibility to avoid blood loss during hepatic resection and the concept of biliary drainage are discussed.

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Section: Arterieile Versorgung Und Gefiiflvariationenunclassified

Technik und Ergebnisse bei Leberresektion

Pichlmaier

Grundmann

Grunst

1975

Langenbecks Arch Chiv

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Resection of Primary Hepatic Malignant Lesions

Adson¹

1974

Arch Surg

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Primary liver cancer.A review of the clinical features, blood groups, serum enzymes, therapy, and survival of 65 cases

Al‐Sarraf

Kithier

et al. 1974

Cancer

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A review of 65 patients with primary liver cancer was made. Of these, 53 had hepatocarcinoma. Primary cancer of the liver was most frequently found in patients aged 50 to 80 years, and was observed in three times as many males as females. There was an increased incidence of hepatocarcinoma in Negroes, especially those with blood group B. The most common symptoms with primary liver cancer were upper abdominal pain, weakness, and weight loss, while the most commonly found signs were hepatomegaly or an abdominal mass. Jaundice and ascites were also commonly found. Serum alkaline phosphatase, SGOT, SGPT, and LDH were elevated in most of these patients. In patients with hepatocarcinoma, 66% had histologically confirmed liver cirrhosis at autopsy. Serial alphafetoprotein tests were performed on 19 patients with hepatoma, in 14 of whom (73.6%) AFP was detectable. No Australia antigen was detected in 12 patients with hepatoma. In this study, 9 out of 16 patients (56%) had subjective and objective tumor responses with continuous 5‐FUdR hepatic artery infusion. None of 18 patients treated with systemic cytotoxic agents responded. The difference in response between hepatic artery infusion and systemic therapy is statistically significant (P < .0002). There was a statistically significant lengthening in survival of patients who responded to intra‐hepatic artery infusion as compared to non‐responders and patients who received systemic chemotherapy. In reviewing the autopsy findings on 30 patients with hepatocarcinoma and 9 with cholangiocarcinoma, there were differences in the incidence of metastases to the lungs or bones between these two types of primary liver cancer.

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Hepatic Angiography in the Selection of Patients with Hepatomas for Hepatic Lobectomy

Cited by 14 publications

References 5 publications

Technik und Ergebnisse bei Leberresektion

Technik und Ergebnisse bei Leberresektion

Resection of Primary Hepatic Malignant Lesions

Primary liver cancer.A review of the clinical features, blood groups, serum enzymes, therapy, and survival of 65 cases

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