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April 1988

Segmentectomies in the Management of Liver Tumors

Author Affiliations

From the Groupe de Recherche sur la Chirurgie du Foie et de l'Hypertension Portale, Hôpital Paul Brousse, Villejuif(Drs Franco and Traynor), and Hôpital Louise Michel, Evry (Drs Smadja, Kahwaji, Grange, and Kemeny), Université Paris-Sud.

Arch Surg. 1988;123(4):519-522. doi:10.1001/archsurg.1988.01400280133027

• Between 1982 and 1986, liver segmentectomies were performed in 19 patients with liver tumors, including ten hepatocellular carcinomas, six liver metastases, one cholangiocarcinoma, and two benign tumors. During surgery, patients received a mean (±1 SD) of 1050±150mL of packed red blood cells and 860±80 mL of fresh-frozen plasma. There were no operative deaths. The only complication was a prolonged leakage of ascites through the abdominal drain In one patient with cirrhosis. Seven patients with hepatocellular carcinoma were still alive at this writing, with a follow-up ranging from two months to four years. The four patients with metastases from colorectal carcinomas were alive after follow-up times ranging from six to 24 months. These results suggest that liver segmentectomy is a safe procedure and should be considered as the operation of choice for resection of limited liver tumors.

(Arch Surg 1988;123:519-522)