J Korean Radiol Soc.  1982 Dec;18(4):781-787. 10.3348/jkrs.1982.18.4.781.

Radiologic evaluation for resectability of hepatoma

• Lee JH
• Park JH
• Han MC
• Kim ST

• KMID: 2463247
• DOI: http://doi.org/10.3348/jkrs.1982.18.4.781

Abstract

Laparotomy performed for resection of hepatoma in 34 cases at Seoul National University Hospital for 3 .5years since Oct. 1978. Resection of hepatoma was done in 21 cases, ligation with or without canulation of hepaticartery was performed in 12 cases, and open and closure was made in 1 case. Angiographic findins were analyzed forresectability of hepatoma. The results of hte analysis were as follows; 1. Most reliable signs for resectablehepatoma were peripheral location and confinement in one hepatic lobe. Most reliable signs for non-resectablehepatoma were presence of tumor thrombus in portal vein, bilateral hepatic arterial feeding. 2. Less reliablesigns for resectable hepatoma were absence of portal vein invasion, less than 10cm in size and absence of findingsof liver cirrhosis. Less reliable signs for non-resectable hepatoma were right or left massive type. 3. Presenceof arteriovenous fistula, more than 10cm in size, and presence of findings of liver cirrhosis were no reliablecriteria for resectability of hepatoma. 4. Predictability for resectability with those reliable signs ofangiography was around 80%. 5. In addition to routine celiac angiography, oblique celiac angiography or superiormesenteric arteriography for portal vein opacification will be helpful in order to obtaine highly reliable signsfor resectability of hepatoma.

MeSH Terms

Angiography
Arteriovenous Fistula
Carcinoma, Hepatocellular*
Laparotomy
Ligation
Liver Cirrhosis
Portal Vein
Seoul
Thrombosis