Morbidity of hepatic resection for intermediate and advanced hepatocellular carcinoma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-12-01

AUTHORS

Philipp Renner, Jürgen Schuhbaum, Alexander Kroemer, Florian Zeman, Martin Loss, Sven A. Lang, Edward K. Geissler, Hans J. Schlitt, Stefan A. Farkas

ABSTRACT

PurposeAccording to current treatment guidelines, surgical resection of hepatocellular carcinoma (HCC) is mostly restricted to a limited subgroup of patients. Due to improved surgical techniques and perioperative management, liver resections may also be performed more extendedly and also in cirrhotic livers with clinical signs of portal hypertension in selected patients. In this study, the clinical and long-term outcomes of liver resection in HCC patients with or without liver cirrhosis were evaluated.MethodsOne hundred fifty-eight patients undergoing liver resection for primary HCC at our institution were identified. Logistic and Cox regression analyses were used to identify prognostic parameters for postoperative complications and survival.ResultsIn our cohort of patients, there was no association between clinical parameters or extent of surgical resection and postoperative morbidity. Only Barcelona Clinic Liver Cancer (BCLC) stage C patients were at significantly higher risk for major complications (OR 5.27, P = 0.009). Risk factors influencing long-term survival were patient age (HR 1.026, P = 0.027) and BCLC stage C (HR 3.47, P = 0.002). Compared to patients without liver cirrhosis, BCLC stage A and B patients undergoing resection were at similar risk for the development of severe complications and long-term mortality.ConclusionLiver resection as potentially curative therapy can be performed in selected patients in BCLC stage B, as well as in patients with clinical signs of portal hypertension. The resection of HCC-classified BCLC stage C is feasible but associated with significant morbidity and mortality. More... »

PAGES

43-53

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00423-015-1359-y

DOI

http://dx.doi.org/10.1007/s00423-015-1359-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1004697105

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26627084


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