Minimally invasive surgery versus radiofrequency ablation for single subcapsular hepatocellular carcinoma ≤ 2 cm with compensated liver cirrhosis
| Autor: | Cheng-Maw Ho, Ming-Chih Ho, Chih-Horng Wu, Rey-Heng Hu, Po-Chin Liang, Po-Huang Lee, Chih-Hao Lin, Yao-Ming Wu |
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| Rok vydání: | 2020 |
| Předmět: |
Liver Cirrhosis
Male medicine.medical_specialty Carcinoma Hepatocellular Cirrhosis Radiofrequency ablation Urology Milan criteria Disease-Free Survival law.invention 03 medical and health sciences 0302 clinical medicine law Internal medicine medicine Hepatectomy Humans Minimally Invasive Surgical Procedures Aged Proportional Hazards Models Retrospective Studies Radiofrequency Ablation business.industry Liver Neoplasms Hazard ratio Length of Stay Middle Aged Hepatology medicine.disease Treatment Outcome 030220 oncology & carcinogenesis Hepatocellular carcinoma Multivariate Analysis Catheter Ablation Portal hypertension Female 030211 gastroenterology & hepatology Surgery Liver function Neoplasm Recurrence Local business |
| Zdroj: | Surgical Endoscopy. 34:5566-5573 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | There is currently no consensus regarding the relative applicability of minimally invasive treatment, including radiofrequency ablation (RFA) and minimally invasive surgery (MIS) in patients with a single small peripheral hepatocellular carcinoma (HCC) and compensated cirrhosis. This study investigated the clinical outcomes of MIS and RFA for single subcapsular HCC ≤ 2 cm in patients with compensated cirrhosis. In this retrospective study, we enrolled 75 patients who had a single subcapsular HCC ≤ 2 cm along with Child–Pugh class A cirrhosis and a preoperative platelet count ≥ 100 k/μl. These patients underwent RFA (n = 39) or MIS (n = 36) between 2010 and 2016. Clinical outcomes including disease-free survival (DFS), survival without recurrence beyond the Milan criteria (RBM), and overall survival (OS) were compared. The 7-year DFS rates in the MIS and RFA groups were 86.1% and 35.9% (p |
| Databáze: | OpenAIRE |
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