THE SURGICAL TREATMENT OF NEOPLASMS OF THE LIVER

Primary carcinoma of the liver: With report of case successfully treated by partial hepatectomy

Carcinoma occurs only very rarely as a primary disease of the liver, in marked contrast to secondary growths, which are extremely common in this organ. Up to sixty years ago observers belived the reverse to be the case, and, in spite of Virchow's warning in regard to the importance of searching for a primary focus with meticulous care, many cases were reported which were later discredited.

Liver resection for neoplasm

Major hepatic resections can now be performed with much greater safety than formerly. This is largely a consequence of improved surgical and anesthetic techniques, which have in turn resulted from better understanding of the anatomy, physiology and biochemistry of the liver. The treatment of liver tumours by resection must be reappraised in the light of these advances. This paper reports twelve patients who have undergone major hepatic resection for neoplasm at the Royal Prince Alfred Hospital over a ten-year period. The current indications for such surgery in the treatment of benign and malignant liver tumours are reviewed, and the results discussed.