Outcomes of Laparoscopic Liver Resection for Patients with Multiple Hepatocellular Carcinomas Meeting the Milan Criteria: A Propensity Score-Matched Analysis

Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - Category: Surgery Authors: Source Type: research

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This study retrospectively analyzed the demographic data and short-term outcomes of 81 patients who underwent LH or OH for the primary treatment of PHC between Oct. 2017 and May 2018 at Union Hospital, Tongji Medical College, Huazhong University of Science and Technology (China). A total of 81 PHC patients who received major liver resection were enrolled. There were 38 (47%) patients in the LH group and 43 (53%) patients in the OH group. The operative time was significantly longer (373.53 ±173.38vs. 225.43 ±55.08,P
Source: Journal of Huazhong University of Science and Technology -- Medical Sciences -- - Category: Research Source Type: research
ConclusionsTreatment of HCC at an AC in the MR increases the odds of surgery and improves survival. A laparoscopic approach increases the odds of positive margins, irrespective of center type.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
Authors: Martínez-Acitores D, Hernández Ainsa M, Cortés García L, Bengochea Martínez ML, Palacios Fanlo MJ Abstract Ectopic hepatocellular carcinoma is a rare entity. Most cases are asymptomatic and are occasionally found during autopsy or laparoscopy. They may sometimes cause relevant clinical problems such as abdominal pain or intra-abdominal bleeding. In this clinical case report, we review the literature in order to decipher the case of a 68-year-old female with an ectopic hepatocellular carcinoma that arose from the peritoneum. The patient was diagnosed after being studied du...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
ConclusionDespite the current lack of evidence supporting the use of CRS and HIPEC in the curation of PC of pancreatic origin, this case report highlights the importance of patient selection in determining suitability for CRS. In the presence of positive prognostic factors and favorable tumor histology, CRS and HIPEC is a potential curative procedure that could be offered to highly selected patients presenting with PC from a primary pancreatic malignancy.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: September 2019Source: European Journal of Surgical Oncology, Volume 45, Issue 9Author(s): S. Di Sandro, L. Benuzzi, A. Lauterio, F. Botta, R. De Carlis, M. Najjar, L. Centonze, M. Danieli, I. Pezzoli, A. Rampoldi, V. Bagnardi, L. De CarlisAbstractIntroductionPatients with a single small Hepatocellular Carcinoma (HCC) may be definitively treated by Radiofrequency ablation (RFA) with a very low rate of peri-operative morbidity. However, results are still controversial comparing RFA to Liver Resection (LR).MethodsAll consecutive patients treated by RFA or LR for a single untreated small HCC on liver cirrhosi...
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
Source: Journal of Laparoendoscopic - Category: Surgery Authors: Source Type: research
Surgical resection and liver transplant remain the cornerstones of curative treatment options for hepatocellular carcinoma. Determining the best treatment option for each patient is a complex decision based on degree of liver cirrhosis, extent of tumor, and overall patient performance status. A multidisciplinary approach is best. With widespread adoption, the role of laparoscopic liver resection for hepatocellular carcinoma continues to expand. Long-term oncologic outcomes are similar for laparoscopic and open resection, with improved short-term results, mainly blood loss and hospital length of stay. Liver transplant remai...
Source: Surgical Oncology Clinics of North America - Category: Surgery Authors: Source Type: research
ConclusionsLM is associated with fewer complications and does not compromise survival compared with OM. LM can be recommended as a safe and reasonable surgical option in selected patients with CL-HCC.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionsA laparoscopic isolated total caudate lobectomy for HCC located in the paracaval portion of the cirrhotic liver seems to be feasible and safe in selected patients.
Source: Annals of Surgical Oncology - Category: Cancer & Oncology Source Type: research
This report introduced a case of a donor with an independent right posterior segmental portal branching from the main portal vein. Patient concerns: A 47-year-old woman volunteered to donate her right liver to her 48-year-old husband. Diagnoses: The recipient has been diagnosed as hepatocellular carcinoma meeting the Milan criteria and hepatitis B virus related cirrhosis. Interventions: The parenchymal transection was performed by ultrasonic aspirator and Hem-o-Lok clips. The right hepatic artery, right hepatic duct, and the anterior and posterior branches of right portal vein were meticulously dissected, clamped,...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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