الفهرس | Only 14 pages are availabe for public view |
Abstract This study was conducted on fifty patients having hepatocellular carcinoma without extra-hepatic metastasis during the period from March 2008 to May 2010. They were divided in two main groups; surgical group and non-surgical group. Each was divided into two subgroups. Surgical group contained Liver Resection (LR) and Living Donar Liver Transplantation (LDLT) subgroups. Non-surgical group contained Radio- Frequency Ablation (RFA) and Trans-Hepatic Chemo-Embolization (TACE) subgroups. Patients were with mean age of 55.84 years. 42 patients were males (84%) and 8 were females (16%). 1. Group A (suq~ical mana~ement): A. S.~P:-_GJ:.QlJR.O.}.~.Lh:~.rJ:~~~£t~9J!.~ Regarding liver resection; Right hepatectomy was done for 9 patients (60%) left hepatectomy for 2 patients (13.3%), atypical (localized) resection for 4 patients (26.6%). The mean time stay in ICU was 2.8 days (2-6 days). The hospitalization stay period was 9.53 (8-20 days). B. §!lJ~:G..rQ~P-.Gt~Jy!m! ... P-Q.!1.!lJ:..J...,t~~r.Tr..!l.rr~.p.!;!D.t~!.!~m_{1..QJ...,IJ:. Regarding LDLT Right lobe graft was done in all 15 patients. The mean time stay in ICU was 7.4 (5-10 days). The hospitalization stay period was 20.7 (17-30 days). 2. Group B (non-surgical management): Of the 10 treated patients, 20 HCC nodules were treated in 20 sessions. In these eight patients who subjected to RF A, response after the ablation was apparent. This response continued with follow up, as patients mass and AFP level decreased with time. S.!tQ:-_G.J:.Q~.p-._.L4L_.:_._._I.r.!l1.!~:-A..r.!.g!:h.\.L._<;J.!~mQ:EJ!tQQ.U!.!lJJ.9.1L.f.L:\<;J;~LJ..tQ P.!l!!~.I)!.~};_ Seventeen sessions of T ACE were done for these ten patients. 2 sessions were done in the hepatic artery proper, 10 sessions in the right hepatic artery and 5 sessions in the left hepatic artery. |