Analysis of Patient Outcome after Non-curative Resection for Hepatocellular Carcinoma Using Nationwide Survey Data in Japan

Background Non-curative (debulking) hepatic resection for hepatocellular carcinoma (HCC) is occasionally applied for selected cases with bulky tumors or for oncologic emergency cases; however, the clinical usefulness of this procedure has not yet been fully evaluated. The aim of the present study wa...

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Bibliographic Details
Published in:World journal of surgery 2021-02, Vol.45 (2), p.607-614
Main Authors: Aoki, Taku, Kubota, Keiichi, Kubo, Shoji, Eguchi, Susumu, Izumi, Namiki, Kokudo, Norihiro, Sakamoto, Michiie, Shiina, Shuichiro, Takayama, Tadatoshi, Nakashima, Osamu, Matsuyama, Yutaka, Murakami, Takamichi, Kudo, Masatoshi
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cardiac Surgery
Chemotherapy
Clinical outcomes
Emergency procedures
General Surgery
Hepatocellular carcinoma
Liver
Liver cancer
Lymph nodes
Medicine
Medicine & Public Health
Metastases
Metastasis
Original Scientific Report
Patients
Peritoneal seeding
Peritoneum
Polls & surveys
Surgery
Survival
Thoracic Surgery
Tumors
Vascular Surgery
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Summary:Background Non-curative (debulking) hepatic resection for hepatocellular carcinoma (HCC) is occasionally applied for selected cases with bulky tumors or for oncologic emergency cases; however, the clinical usefulness of this procedure has not yet been fully evaluated. The aim of the present study was to evaluate the patient outcomes of non-curative hepatic resections for HCC using data from bi-annual nationwide surveys conducted in Japan. Method Data of 1084 non-curative hepatic resections for HCC were collected. The patient outcomes were compared with those of curative resections, transcatheter arterial chemoembolization (TACE), and hepatic arterial infusion chemotherapy (HAIC). Results Patient survival after the non-curative resection was poorer than that after curative resection ( P  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-020-05830-6