Abstract

GALA LOPEZ, Boris L; QUEVEDO GUANCHE, Lázaro  and  GONZALEZ VILLALONGA, Jesús A. Más de 15 años de cirugía en el cáncer del hígado. Rev Cubana Cir [online]. 2003, vol.42, n.4, pp. 0-0. ISSN 1561-2945.

The development of the surgical techniques and the perioperative care has made possible a considerable increase of liver resections. In this study, it is evaluated the experience gained by the Group of Hepatobiliary Pancreatic Surgery of "Hermanos Ameijeiras" Clinical and Surgical Hospital for more than 15 years of exeresis of the liver due to primary or secondary cancer. A retrospective study was conducted that included 99 patients who underwent 104 resections due to primary or secondary cancer, from March, 1984, to September, 2001. Information on the diagnoses, the surgical techniques used, complications and mortality, was collected. The disease free inteval (DFI) and the accumulated survival were calculated as an evidence of the long term results. It was observed a predominance of major resections in primary cancer compared with the minor resections at a ratio of 2:1. However, minor resections were less frequent than in the metastasis (1:3). The septic complications were important and led on occasions to relaparatomy; nevertheless, the cardiopulmonary disorders were responsible for most of the 8 deaths (37.50 %). The DFI at 1, 3 and 5 years was of 62.5 %, 25.2 % and 5.2 %, respectively, whereas the accumulated survival was of 77.0 %, 27.2 % and 11.1 %. Marked differences were observed in the survival of the various metastatic groups, but it was not so between primary and secondary cancer. The Group has gained a valuable experience in the management of this type of patients, supported by the attainment of results comparable with other international series

Keywords : LIVER NEOPLASMS [surgery]; CARCINOMA, HEPATOCELLULAR [surgery]; NEOPLASM METASTASIS; RETROSPECTIVE STUDIES; SURVIVAL ANALYSIS.