Is There any Benefit from Expanding the Criteria for the Resection of Hepatocellular Carcinoma in Cirrhotic Liver? Experience from a Developing Country
World Journal of Surgery, 03/28/2012Galun DA et al.
RF–assisted sequentional “coagulate–cut liver resection technique“ may be a viable alternative for management of patients with advanced HCC in cirrhotic liver with impaired function.
Forty patients with Child–Pugh A or B cirrhosis underwent liver resection from December 1, 2001 to December 31, 2008.
Of these, 20 patients (13 Child–Pugh A and 7 Child–Pugh B) with advanced stage HCC (stage B and C according to Barcelona–Clinic Liver Cancer Group) underwent major liver resection.
The two groups were comparable in terms of patient age, liver cirrhosis etiology, tumor number, and size.
All resections were performed without the Pringle maneuver.
There was no significant difference found between the two groups regarding resection time, perioperative transfusion, postoperative complications, hospital stay, and day 7 values of hemoglobin and liver enzymes.
Likewise, there was no significant difference found in the overall survival between Child A and Child B patients who underwent major liver resection
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