Segmentectomy for hepatoma originated from segment IX / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To report the procedure of segmentectomy for hepatoma located in segment IX.</p><p><b>METHODS</b>11 cases of hepatoma originated from segment IX were treated by segmentectomy without interruption of blood flow of the liver. Among total 11 cases, 10 cases were primary liver cancer, the other one was secondary liver cancer.</p><p><b>RESULTS</b>Tumor diameters from 6 to 14 cm (median 9.2 cm), no perioperative death occurred in this group. Intraoperative blood losses were 200-600 ml (median 350 ml) without severe postoperative complications. Postoperative hospitalization time were 9-14 days (median 11 days). Transhepatic artery chemoembolization (TACE) was given at 4-6 weeks after operation and repeated at intervals of 2 to 4 months for 1 year. During the follow up time of 5-29 months (media 17 months), 10 patients were tumor-free and 1 patient developed an intrahepatic metastasis.</p><p><b>CONCLUSIONS</b>Segmentectomy without interruption of blood flow of the liver is safe and practical for hepatoma located in segment IX.</p>