日本インターベンショナルラジオロジー学会雑誌
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
最新の肝炎・肝細胞癌治療
肝細胞癌の最新外科治療
−内視鏡下外科治療とIVR併用肝切除を中心に
別府 透林 洋光新田 英利今井 克憲橋本 大輔近本 亮石河 隆敏馬場 秀夫
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2013 年 28 巻 4 号 p. 391-397

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The long-term survival after hepatic resection for hepatocellular carcinoma remains unsatisfactory because of the high incidence of tumor recurrence. Both curability and preservation of liver functional reserve are required. We introduced in this paper following: 1) advances in hepatic resection, 2) less invasive endoscopic surgical treatments consisting of endoscopic hepatic resection and endoscopic ablation therapy, 3) hepatic resection followed by adjuvant hepatic arterial infusion chemotherapy for hepatocellular carcinoma patients with vascular invasion, and additional effects of portal vein embolization on hemi-hepatectomy. We believe that this subject might encouraging radiologists to collaborate with surgeons for the purpose of further improvement of hepatocellular carcinoma treatment results.
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