말기 간암에 대한 간이식 보고

• Published in: The Korean journal of gastroenterology Vol. 27; no. 6; pp. 744 - 748
• Main Authors: 김수태, Soo Tae Kim, 김건표, Keon Pyo Kim, 정승용, Seung Yong Jeong, 한세환, Se Hwan Han, 민승기, Seung Gee Min, 정중기, Joong Ki Chung, 이건욱, Kuhn Uk Lee, 이효석, Hyo suk Lee, 오용석, Yong Seok Oh, 이상형, Sang Hyung Lee, 김현집, Hyon Jip Kim, 노재규, Jae Kyu Rho
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 01.01.1995
• Subjects: Hepatocellular carcinoma; Transplantation
• ISSN: 1598-9992

Partial resection of liver is the standard treatment modality in hepatocellular carcinoma(HCC). But the resection of liver is impossible in large HCC, especially with the cirrhotic liver. An alternative treatment for such patients would be orthotopic liver transplantation. We experienced a case of liver transplantation for HCC patient with far advanced disease. The patient had no clinical evidence of distant metastasis preoperatively. We did liver transplantation from a donor who was diagnosed as brain death due to traffic accident. The blood type was compatible and operation was finished successfully. Immunosuppressive treatment with cyclosporine was done and the recipient was known to have hepatitis B. Hepatitis B immune globulin was administered. Immediate postoperative recovery was uneventful but the failure in the of alpha-fetoprotein to normal level was observed. Multiple hot uptake of bone was detected on the bone scan during the follow up and the recipient was expired after 7 months. (Korean J Gastroenterol 1995;27:744 - 748)