| Autor: |
Fung AKY; Department of Surgery, Prince of Wales Hospital, New Territories., Cheng NMY; Department of Surgery, Prince of Wales Hospital, New Territories., Chong CCN; Department of Surgery, Prince of Wales Hospital, New Territories.; Department of Surgery, The Chinese University of Hong Kong, Hong Kong., Lee KF; Department of Surgery, Prince of Wales Hospital, New Territories., Wong J; Department of Surgery, Prince of Wales Hospital, New Territories., Cheung SYS; Department of Surgery, Prince of Wales Hospital, New Territories., Lok HT; Department of Surgery, Prince of Wales Hospital, New Territories., Lai PBS; Department of Surgery, Prince of Wales Hospital, New Territories.; Department of Surgery, The Chinese University of Hong Kong, Hong Kong., Ng KKC; Department of Surgery, Prince of Wales Hospital, New Territories.; Department of Surgery, The Chinese University of Hong Kong, Hong Kong. |
| Jazyk: |
angličtina |
| Zdroj: |
Medicine [Medicine (Baltimore)] 2020 Nov 25; Vol. 99 (48), pp. e23358. |
| DOI: |
10.1097/MD.0000000000023358 |
| Abstrakt: |
Analysis for actual mid-term (≥5 years) and long-term (≥10 years) survivors with hepatocellular carcinoma (HCC) following curative hepatectomy are rarely reported in the literature.This retrospective study aims to study the mid- and long-term survival outcome and associated prognostic factors following curative hepatectomy for HCC in a tertiary referral center.The clinical data of 325 patients who underwent curative hepatectomy for HCC were reviewed. They were stratified into 3 groups for comparison (Group 1, overall survival <5 years; Group 2, overall survival ≥5, and <10 years; Group 3, overall survival ≥10 years). Favorable independent prognostic factors for mid- and long-term survival were analyzed.A bimodal distribution of actual survival outcome was observed, with short-term (<5 years) survival of 52.7% (n = 171), mid-term survival of 18.1% (n = 59), and long-term survival of 29.2% (n = 95). Absence of microvascular invasion (OR 3.690, 95% CI: 1.562-8.695) was independent good prognostic factor for mid-term survival. Regarding long-term overall survival, young age (OR 1.050, 95% CI: 0.920-0.986), ASA grade ≤2 (OR 3.746, 95% CI: 1.325-10.587), high albumin level (OR 1.008, 95% CI: 0.920-0.986), solitary tumor (OR 3.289, 95% CI: 1.149-7.625) and absence of microvascular invasion (OR 4.926, 95% CI: 2.192-11.111) were independent good prognostic factors.Curative hepatectomy results in bimodal actual survival outcome with favorable long-term survival rate of 29.2%. Favorable independent prognostic factors (age, ASA grade, albumin level, tumor number, and microvascular invasion) are identified for overall survival. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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