[Surgical treatment of hepatocellular carcinoma]

The result of surgical treatment for hepatocellular carcinoma in National Cancer Center Hospital is reported. Almost 80% of the cases in this series are cirrhotic. The cases were divided into two groups according to the period when hepatectomy was done, as the first half, [A], was from 1974 till 1981 when the treatment was only surgical removal and the latter half, [B], was from 1982 till the end of March, 1986 when pre- and post-operative embolization was combined with hepatectomy. The operative mortality rate was 10.1% (9/89) for [A] and 2.2% (3/121) for [B]. The cumulative survival rates of [A] for the 1st-5th year were 65.8%, 52.6%, 39.5%, 32.9% and 27.2%, respectively, and those of [B] were 86.1%, 78.1%, 65.1%, 50.6% and 50.6%.