| Abstract | The article reviews the outcome concerning sixty-one consecutive patients who underwent liver resection for primary cancer from 1992 through 1997. Cirrhosis was present in 46 (75 percent) of the patients, and 42 (69 percent) were positive for hepatitis B surface antigen. The median tumour diameter was 8 cm (rang, 1-16 cm). Liver resections consisted of hemihepatectomy (n=37), trisegmentectomy (n=4), segmentectomy (n=11), and wedge resection (n=9). Postoperative death and major morbidity occurred in 0 percent and 36 percent of patients, respectively; ascites was the most common complication. The median hospital stay was 11 days. The actuarial overall and disease-free 5-year survival rates were 36.0 percent and 22.8 percent, respectively. These results are similar to or better than those recently reported from local or overseas centres. Multivariate analysis showed that the Child-Pugh class significantly influenced the development of complications and the length of hospital stay, whereas a well-circumscribed tumour margin, the tumour-node-metastasis stage of the tumour, and the Child-Push class were independent predictors of survival. Surgical resection for primary liver cancer can be performed with acceptable safety and efficacy in a suitable staffed and equipped private community hospital. |
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