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Choice of approach for hepatectomy for hepatocellular carcinoma located in the caudate lobe:Isolated or combined lobectomy?

引用

World Journal of Gastroenterology 2012年第29期18卷 3904-3909页

作者： Peng Liu Bao-An Qiu Gang Bai Hong-Wei Bai Nian-Xin Xia Ying-Xiang Yang Jian-Yong Zhu Yang An Bing Hu Department of Hepato-biliary Surgery anti Liver Transplantation Surgery Navy General Hospital Beijing 100048 China

AIM:To investigate the significance of the surgical approaches in the prognosis of hepatocellular carcinoma(HCC) located in the caudate lobe with a multivariate regression analysis using a Cox proportional hazard ***:Thirty-six patients with HCC underwent caudate lobectomy at a single tertiary referral center between January 1995 and June *** this series,left-sided,right-sided and bilateral approaches were *** outcomes of patients who underwent isolated caudate lobectomy or caudate lobectomy combined with an additional partial hepatectomy were *** survival curves of the isolated and combined resection groups were generated by the Kaplan-Meier method and compared by a log-rank ***:Sixteen(44.4%) of 36 patients underwent isolated total or partial caudate lobectomy whereas 20(55.6%) received a total or partial caudate lobectomy combined with an additional partial *** median diameter of the tumor was 6.7 cm(range,2.1-15.8 cm).Patients who underwent an isolated caudate lobectomy had significantly longer operative time(240 min vs 170 min),longer length of hospital stay(18 d vs 13 d) and more blood loss(780 mL vs 270 mL) than patients who underwent a combined caudate lobectomy(P caudate lobectomy than in those who underwent combined caudate lobectomy(31.3% vs 10.0%,P caudate lobectomy and the combined caudate lobectomy groups were 54.5%,6.5% and 0% and 85.8%,37.6% and 0%,respectively(P caudate lobectomy combined with an additional partial hepatectomy is preferred because this approach is technically less demanding and offers an adequate surgical margin.

关键词： hepatocellular carcinoma hepatectomy caudate lobectomy caudate lobe combined resection

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