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Journal of Cancer Research and Clinical Oncology

Erschienen in:

01.08.2007 | Original Paper

Anatomic wide hepatectomy for treatment of hepatocellular carcinoma

verfasst von: Toshiya Ochiai, Teruhisa Sonoyama, Shojiro Kikuchi, Tokunari Okayama, Hiroo Konishi, Masahiro Kitagawa, Tomoyuki Tagi, Yuji Ueda, Eigo Otsuji

Erschienen in: Journal of Cancer Research and Clinical Oncology | Ausgabe 8/2007

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Abstract

Purpose

We aimed to clarify the prognostic impact of the anatomic extent of hepatic resection (Hr) related to the tumor hepatic involvement (H) on patients’ survival in the treatment of hepatocellular carcinoma (HCC).

Method

The 305 patients with HCC who had undergone hepatectomy were analyzed retrospectively. The patients were classified into the anatomic wide hepatectomy (Hr > H hepatectomy, i.e. Hr was larger than H, n = 93) group and the other hepatectomies (Hr < or = H hepatectomy, i.e. Hr was equal to or smaller than H, n = 212) group. We compared the clinico-pathologic features between the two hepatectomy groups and the prognostic factors associated with postoperative HCC recurrence by using the Cox’s proportional hazard model.

Results

After median follow-up duration of 50 months (range 1–223 months), in Hr > H and Hr < or = H hepatectomy groups, the cumulative 3, 5, 10 year disease-free survival rates were 58.1, 44.6, 27.1% and 49.2, 33.0, 14.6%, respectively (P = 0.043). The overall survival was not significantly different between the groups (P = 0.401). Multivariate analysis revealed that Hr > H hepatectomy was an independent favorable factor for disease-free survival: the relative risk was 0.64 (95% confidence interval, 0.43–0.95; P = 0.026).

Conclusion

Anatomic wide (Hr > H) hepatectomy is a favorable procedure of choice in HCC for possibly reducing the risk of postoperative recurrence.

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Titel: Anatomic wide hepatectomy for treatment of hepatocellular carcinoma
verfasst von: Toshiya Ochiai
Teruhisa Sonoyama
Shojiro Kikuchi
Tokunari Okayama
Hiroo Konishi
Masahiro Kitagawa
Tomoyuki Tagi
Yuji Ueda
Eigo Otsuji
Publikationsdatum: 01.08.2007
Verlag: Springer-Verlag
Erschienen in: Journal of Cancer Research and Clinical Oncology / Ausgabe 8/2007
Print ISSN: 0171-5216
Elektronische ISSN: 1432-1335
DOI: https://doi.org/10.1007/s00432-007-0205-1

Springer Medizin

Anatomic wide hepatectomy for treatment of hepatocellular carcinoma