@article{oai:shiga-med.repo.nii.ac.jp:00000075, author = {来見, 良誠 and KURUMI, Yoshimasa and 花澤, 一芳 and HANASAWA, Kazuyoshi and 仲, 成幸 and NAKA, Shigeyuki and 谷, 徹 and TANI, Tohru and 小玉, 正智 and KODAMA, Masashi and 石塚, 義之 and 馬場, 忠雄 and BAMBA, tadao and 岡部, 英俊 and OKABE, Hidetoshi}, journal = {滋賀医科大学雑誌}, month = {Feb}, note = {One hundred thirty-four patients with hepatocellular carcinoma (HCC) were treated in our department. Hepatic resection was performed in 78 patients with HCC. According to the development of medical instruments, indication for hepatic resection has changed. Intraoperative hepatic ultrasonography provides a great deal of information about tumor location and vascular anatomy in the liver, and is an indispensable procedure for hepatic resection. Vascular surgery techniques are being increasingly applied in our department for the treatment of HCC. Hepatic vascular exclusion can be performed safely using a centrifugal active pump, even in the patients with cirrhosis. To reduce post-hepatectomy liver failure, an accurate preoperative assessment of hepatic functional reserve is essential. The indocyanine green test has been used conventionally. It is useful to decide the resected line of the liver. The survival rates after hepatectomy for hepatocellular carcinoma according to cancer stage were reported. The 5-year survival rates of Stages I, II, III and IV were 66.7%, 59.0%, 45.1%, and 24.0%, respectively. These survival rates were nearly equal to those reported in the results of a survey and follow-up study of primary liver cancer in Japan.}, pages = {37--41}, title = {教室における肝細胞癌治療の変遷と予後の検討}, volume = {15}, year = {2000}, yomi = {クルミ, ヨシマサ and ハナサワ, カズヨシ and ナカ, シゲユキ and タニ, トオル and コダマ, マサシ and バンバ, タダオ and オカベ, ヒデトシ} }