Outcome of a second hepatectomy in octogenarians with hepatocellular carcinoma recurrence: single centre's experience

Background Physicians rarely select surgery a second time as the treatment for octogenarians with hepatocellular carcinoma (HCC) recurrence. Methods We encountered eight male and three female octogenarians underwent surgery a second time as the treatment for HCC recurrence (octo group). We studied t...

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Bibliographic Details
Published in:ANZ journal of surgery 2019-10, Vol.89 (10), p.1270-1274
Main Authors: Ochiai, Toshiya, Inoue, Hiroyuki, Watanabe, Nobuyuki, Ito, Hiroshi, Toma, Atsushi, Morimura, Ryo, Ikoma, Hisashi, Otsuji, Eigo
Format: Article
Language:English
Subjects:
Bile
Complications
Dementia disorders
elderly
Hepatectomy
Hepatocellular carcinoma
Liver cancer
Medical personnel
Nodules
octogenarian
Patients
Physicians
Prognosis
repeated hepatectomy
Surgery
Tumors
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Summary:Background Physicians rarely select surgery a second time as the treatment for octogenarians with hepatocellular carcinoma (HCC) recurrence. Methods We encountered eight male and three female octogenarians underwent surgery a second time as the treatment for HCC recurrence (octo group). We studied these cases clinically and compared them with 25 younger people underwent surgery a second time (young group). All patients of octo group have resectable HCC according to the Japanese guideline, that is HCC patients with Child‐Pugh status A or B and who have solitary or only a few HCC nodules, in addition, no serious comorbidities, no serious dementia, a performance status of 0–1 and the will to receive hepatectomy. Results The average maximum tumour size at the first hepatectomy was significantly larger than that at the second hepatectomy (P 
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.15330