Repeat hepatectomy for recurrent hepatocellular carcinoma: a local experience and a systematic review View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-12

AUTHORS

Yanming Zhou, Chengjun Sui, Bin Li, Zhengfeng Yin, Yunchang Tan, Jiamei Yang, Zhenyu Liu

ABSTRACT

BACKGROUND: This study aimed to assess the efficacy and safety of repeat hepatectomy for recurrent hepatocellular carcinoma (HCC). METHODS: Thirty-seven patients who underwent a curative repeat hepatectomy in our hospital were retrospectively studied. An extensive database literature search was performed to obtain for all relevant studies. RESULTS: In our series, there were no perioperative deaths during repeat hepatectomy for recurrent HCC. Patients survival after repeat hepatectomy were similar to 429 patients undergoing initial hepatectomy. A computerized search of the Medline and PubMed databases found 29 retrospective studies providing relevant data in 1149 patients were included for appraisal and data extraction. After the repeat hepatectomy, postoperative morbidity ranged from 6.2% to 68.2% with a median per cohort of 23.5 per cent. There were 7 perioperative deaths (0.7 per cent of 993 for whom mortality data were provided). The overall median survival ranged from 21 to 61.5 months, with 1-, 3-, and 5-year survival of 69.0% to 100%, 21.0% to 87.0%, and 25.0% to 87.0%, respectively. CONCLUSIONS: Repeat hepatectomy can be performed safely and is associated with long-term survival in a subset of patients with recurrent HCC. However, the findings have to be carefully interpreted due to the lower level of evidence. A randomized controlled study is needed to compare repeat hepatectomy and other modalities for recurrent HCC. More... »

PAGES

55

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1477-7819-8-55

DOI

http://dx.doi.org/10.1186/1477-7819-8-55

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1004822258

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20591196


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Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1477-7819-8-55'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1477-7819-8-55'


 

This table displays all metadata directly associated to this object as RDF triples.

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