"Partial wrapping therapy" for recurrent hepatocellular carcinoma by transthoracic route
Masutani, S.; Sasaki, Y.; Imaoka, S.; Kishimoto, S.; Iwamoto, S.; Nakamori, S.; Ohigashi, H.; Kameyama, M.; Hiratsuka, M.; Ishikawa, O.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 20(11): 1489-1491
1993
ISSN/ISBN: 0385-0684 PMID: 8396902 Document Number: 417214
Two patients with recurrent hepatocellular carcinoma close to the diaphragma, underwent TAE following decollateralization using silicone rubber sheeting with thoracotomy. The patients suffered from severe liver cirrhosis. Laparotomy was not carried out for the preservation of hepatic function. After wrapping therapy, serum AFP level was reduced to almost the normal range in one case, but in another case to half because of bilateral lung metastasis. The maximum serum level of postoperative serum total bilirubin in these 2 cases was 2.0 mg/dl and 1.6 mg/dl, respectively. We think wrapping therapy with thoracotomy is readily applicable for patients with severe cirrhosis.