Multimodality treatment in hepatocellular carcin- oma patients with tumor thrombi in portal vein

摘要

AIM To compare the therapeutic effect and significances of multimodality treatment for hepatocellular carcinoma (HCC) with tumor thrombi in portal vein (PVTT). METHODS HCC patients (n-1470 with tumor Trombi in the main portal vein or the first brance Of portal vein were divided into four groups by The several therapeutic methods. There were Conservative treatment group in 18 out of Patients (group A); and hepatic artery ligation (HAL) and / or hepatic artery infusion (HAI) group in 18 patients (group B), in whom postoberative chemoembolization was done periodically; group of removal of HCC with PVTT in 79 (group C) and group of transcatheter hepatic arterial chemoembolization (TACE) or HAI and/or portal vein infusion (PVI) after Operation in 32 (group D).