Treatment of stage IVA hepatocellular carcinoma - Should we reappraise the role of surgery?
Treatment of stage IVA hepatocellular carcinoma - Should we reappraise the role of surgery?
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DOI：
10.1001/archsurg.143.6.538
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发表时间：
2008-06-01
影响因子：
--
通讯作者：
Soubrane, Olivier
中科院分区：
文献类型：
--
作者：
Chirica, Mircea;Scatton, Olivier;Soubrane, Olivier
Hypothesis: A subset of patients with stage IVA hepatocellular carcinoma (HCC) and preserved liver function may benefit from hepatic resection.Design: Retrospective review of a prospectively collected database. Setting: An academic tertiary care hepatobiliary unit.Patients: Twenty patients who underwent surgical treatment for stage IVA HCC between July 1998 and October 2004 were identified from the database.Intervention: Intraoperative ablation of HCC nodules was combined with resection in 6 patients (30%) to increase resectability. Three patients also underwent resection of extrahepatic tumors. Five patients (25%) had macroscopic invasion of the portal vein and 2 patients (10%) underwent thrombectomy of the vena cava.Main Outcome Measures: Intraoperative data, recurrence, and long-term survival rates were analyzed.Results: Postoperative mortality and morbidity were 5% and 30%, respectively. The median number of resected tumors per patient was 3, and the median diameter of the largest tumor was 60 mm. With a median follow-up of 23 months, 14 patients (70%) developed recurrence. Treatment of recurrence was possible in 10 patients and included transarterial chemoembolization in 7 patients (35%), of whom 2 (10%) had radiofrequency ablation first, and systemic chemotherapy in 3 patients (15%). Median survival time was 32 months, and the actuarial 1-, 3-, and 5-year survival rates were 73%, 56%, and 45%, respectively.Conclusions: Long-term survival can be achieved using an aggressive surgical approach in select patients with advanced HCC. Patients with stage IVA HCC should be followed up by a multidisciplinary team because recurrence is common and sequential treatments may prolong survival.
