[Malignant tumors of the liver in children]

The treatment results of 65 children with malignant tumors of liver for the 1972-1992 yrs period were analyzed. Hepatocellular cancer was diagnosed in 31, hepatoblastoma--in 23, poorly differentiated sarcoma, angiosarcoma, cancer-sarcoma--in 11. Operations were conducted in 38 (58.5%) patients, of whom radical--in 22; the right-sided hemihepatectomy--in 14 (in expanded and expanded-combined), left-sided--in 2, nonanatomical resection--in 6. Laparothoracophrenotomy was done in 8 children with massive tumor for the right-sided hemihepatectomy conduction (in 2--with diaphragm resection and vast defect plasty with the help of a capron mesh). Of 22 radically operated children 4 (18.2%) died: after the right-sided expanded hemihepatectomy conduction--3, nonanatomical liver resection--1. One more child with a massive tumor died during mobilization of the liver right lobe. Of 18 discharged children 12 died during following 18 mos, 6 survived. Five-year survival was 23.5%.