Hepatocellular carcinoma--evaluation of a group of 74 patients treated at the surgical department.

The authors present their experience with treatment of 74 patients operated on for hepatocellular carcinoma. Resection could be performed only in 44 patients. In 19 cases, a catheter for regional chemotherapy was implanted. Tumor destruction with alcohol was performed 4 times and radiofrequency thermal ablation 5 times either as a single intervention or in addition to resection. Liver cirrhosis was verified histologically in 29 operated patients. Hospital mortality: 2 operated patients. Median survival after liver resection: 42 months, mean survival: 72 months. The importance of preoperative indocyanine green elimination test for exact determination of functional capacity of the liver and the priority of radical resection as compared to the other treatment modalities are emphasized.