Repeated hepatic resection for recurrent XXXX in eighteen cases.

@entity1 @entity157 @entity204 @entity160
BACKGROUND: Although intrahepatic recurrence after hepatic resection for @entity157 is the most significant cause of @entity204 , very few reports are available for hepatic re-resection as a radical treatment for recurrence. METHODS: Eighteen @entity1 who underwent repeated hepatic resections for @entity157 were evaluated. Most of the @entity1 regularly received measurement of @entity160 level once a month and examination by ultrasonography and/or computed tomography scanning once every 3 to 4 months. RESULTS: No operative @entity204 occurred. The @entity160 levels of 9 of the 18 @entity1 were within the normal range. Most @entity1 underwent limited hepatic resection to maintain the remaining hepatic function. The 1-, 3-, and 5-year cumulative survival rates after repeated resection were 88%, 37%, and 37%, respectively. The 3-, 5-, and 7-year survival rates after the first resection were 88%, 68%, and 45%, respectively. These showed no significant difference from the survival rates of @entity1 with no recurrences after hepatic resection. CONCLUSIONS: Careful follow-up examinations after hepatic resection are needed for early detection of recurrences, and efforts should be made for repeated hepatic resection, which leads to satisfactory outcome.
