Laparoscopic liver resection for hepatitis B and C virus-related hepatocellular carcinoma in patients with Child B or C cirrhosis
Identifieur interne : 003E83 ( Ncbi/Curation ); précédent : 003E82; suivant : 003E84Laparoscopic liver resection for hepatitis B and C virus-related hepatocellular carcinoma in patients with Child B or C cirrhosis
Auteurs : Nataliya Brytska ; Ho-Seong Han ; Ahmed Shehta ; Yoo-Seok Yoon ; Jai Young Cho ; Youngrok ChoiSource :
- Hepatobiliary Surgery and Nutrition [ 2304-3881 ] ; 2015.
Abstract
The aim of this study was to evaluate the clinical and oncological outcomes after laparoscopic liver resection (LLR) in patients with hepatitis B and C virus-related hepatocellular carcinoma (HCC) with Child B or C cirrhosis.
Between January 2004 and December 2013, LLR was performed in 232 patients with HCC. Of these, 141 patients also had pathologically proven cirrhosis. Sixteen patients with hepatitis B and C virus-related HCC with Child B or C cirrhosis were included in the study. Thirteen (81.3%) patients had Child B disease and three (18.8%) patients had Child C disease.
The median operation time was 215 min, the median estimated blood loss was 350 mL, and the median hospital stay was eight days. Three patients (18.8%) experienced complications after surgery. There was no postoperative mortality or reoperation. The mean follow-up period was 51.6 months. HCC recurred in eight (50%) patients: seven intrahepatic recurrences and one extrahepatic recurrence. The treatments for recurrence were laparoscopic reoperation in one (6.3%) patient, trans-catheter arterial chemo-embolization (TACE) in one (6.3%) patient, radiofrequency ablation (RFA) in one (6.3%) patient, and combined TACE and RFA in four (25%) patients. The five-year postoperative overall survival (OS) and disease-free survival (DFS) were 84.4% and 41.7%, respectively.
This study demonstrates that LLR can be safely used in patients with hepatitis B and C virus-related HCC and Child B or C cirrhosis, with acceptable survival outcomes.
Url:
DOI: 10.3978/j.issn.2304-3881.2015.04.06
PubMed: 26734621
PubMed Central: 4689694
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<author><name sortKey="Brytska, Nataliya" sort="Brytska, Nataliya" uniqKey="Brytska N" first="Nataliya" last="Brytska">Nataliya Brytska</name>
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<author><name sortKey="Han, Ho Seong" sort="Han, Ho Seong" uniqKey="Han H" first="Ho-Seong" last="Han">Ho-Seong Han</name>
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<author><name sortKey="Shehta, Ahmed" sort="Shehta, Ahmed" uniqKey="Shehta A" first="Ahmed" last="Shehta">Ahmed Shehta</name>
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<author><name sortKey="Yoon, Yoo Seok" sort="Yoon, Yoo Seok" uniqKey="Yoon Y" first="Yoo-Seok" last="Yoon">Yoo-Seok Yoon</name>
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<author><name sortKey="Cho, Jai Young" sort="Cho, Jai Young" uniqKey="Cho J" first="Jai Young" last="Cho">Jai Young Cho</name>
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<author><name sortKey="Choi, Youngrok" sort="Choi, Youngrok" uniqKey="Choi Y" first="Youngrok" last="Choi">Youngrok Choi</name>
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<author><name sortKey="Brytska, Nataliya" sort="Brytska, Nataliya" uniqKey="Brytska N" first="Nataliya" last="Brytska">Nataliya Brytska</name>
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<author><name sortKey="Han, Ho Seong" sort="Han, Ho Seong" uniqKey="Han H" first="Ho-Seong" last="Han">Ho-Seong Han</name>
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<author><name sortKey="Shehta, Ahmed" sort="Shehta, Ahmed" uniqKey="Shehta A" first="Ahmed" last="Shehta">Ahmed Shehta</name>
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<author><name sortKey="Yoon, Yoo Seok" sort="Yoon, Yoo Seok" uniqKey="Yoon Y" first="Yoo-Seok" last="Yoon">Yoo-Seok Yoon</name>
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<author><name sortKey="Cho, Jai Young" sort="Cho, Jai Young" uniqKey="Cho J" first="Jai Young" last="Cho">Jai Young Cho</name>
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<author><name sortKey="Choi, Youngrok" sort="Choi, Youngrok" uniqKey="Choi Y" first="Youngrok" last="Choi">Youngrok Choi</name>
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<series><title level="j">Hepatobiliary Surgery and Nutrition</title>
<idno type="ISSN">2304-3881</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>The aim of this study was to evaluate the clinical and oncological outcomes after laparoscopic liver resection (LLR) in patients with hepatitis B and C virus-related hepatocellular carcinoma (HCC) with Child B or C cirrhosis.</p>
</sec>
<sec><title>Methods</title>
<p>Between January 2004 and December 2013, LLR was performed in 232 patients with HCC. Of these, 141 patients also had pathologically proven cirrhosis. Sixteen patients with hepatitis B and C virus-related HCC with Child B or C cirrhosis were included in the study. Thirteen (81.3%) patients had Child B disease and three (18.8%) patients had Child C disease.</p>
</sec>
<sec><title>Results</title>
<p>The median operation time was 215 min, the median estimated blood loss was 350 mL, and the median hospital stay was eight days. Three patients (18.8%) experienced complications after surgery. There was no postoperative mortality or reoperation. The mean follow-up period was 51.6 months. HCC recurred in eight (50%) patients: seven intrahepatic recurrences and one extrahepatic recurrence. The treatments for recurrence were laparoscopic reoperation in one (6.3%) patient, trans-catheter arterial chemo-embolization (TACE) in one (6.3%) patient, radiofrequency ablation (RFA) in one (6.3%) patient, and combined TACE and RFA in four (25%) patients. The five-year postoperative overall survival (OS) and disease-free survival (DFS) were 84.4% and 41.7%, respectively.</p>
</sec>
<sec><title>Conclusions</title>
<p>This study demonstrates that LLR can be safely used in patients with hepatitis B and C virus-related HCC and Child B or C cirrhosis, with acceptable survival outcomes.</p>
</sec>
</div>
</front>
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