Right hepatectomy by the anterior method with liver hanging versus conventional approach for large hepatocellular carcinomas

The British Journal of Surgery
T-J WuW-C Lee

Abstract

The aim was to compare short-term results of right hepatectomy using the anterior approach (AA) and liver hanging manoeuvre with the conventional approach (CA) for large hepatocellular carcinoma (HCC). This was a retrospective review of 71 consecutive patients with HCC at least 5 cm in diameter who underwent curative right hepatectomy using either the AA with the liver hanging manoeuvre (33) or the CA (38) between January 2004 and December 2008. Clinical data, operative results and survival outcomes were analysed. The groups had similar clinical, laboratory and pathological parameters. The AA group had larger tumours than the CA group (P = 0.039), but comparable grade and stage distribution. The operative results were similar except for an increased blood transfusion requirement with the conventional procedure (P = 0.001). The AA group had a lower recurrence rate (P = 0.003) and better disease-free survival (DFS) (P = 0.001) than the CA group, but overall survival rates were not significantly different (P = 0.091). Presence of tumour encapsulation, absence of tumour microvascular invasion and AA were predictive of DFS, whereas tumour stage was the only independent predictor of overall survival. The AA right hepatectomy with liv...Continue Reading

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Citations

Feb 1, 2012·Langenbeck's Archives of Surgery·F CauchyJ Belghiti
Jan 15, 2014·World Journal of Gastroenterology : WJG·Yu ZhangZheng-Feng Yin
Mar 11, 2015·Journal of Clinical and Experimental Hepatology·Hariharan Ramesh
Aug 5, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A NanashimaT Nagayasu
May 30, 2014·Annals of Surgical Oncology·Safi DokmakJacques Belghiti
May 15, 2013·World Journal of Surgery·Lianyue YangZhijun Zeng
Jun 22, 2011·Clinics in Liver Disease·T Mark Earl, William C Chapman
Aug 13, 2011·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·C TosoP Majno
Dec 14, 2011·Journal of Surgical Oncology·Tsung-Han WuMiin-Fu Chen
Dec 3, 2014·World Journal of Surgery·Jin Hong LimJin Sub Choi
Apr 30, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Liuxin CaiXiujun Cai
Jun 19, 2016·International Journal of Surgery·Huan Wei ChenWan Yee Lau
Aug 11, 2016·Journal of Gastrointestinal Cancer·Murad A JabirShinji Uemoto
Dec 7, 2017·World Journal of Gastroenterology : WJG·Hui LiGen-Shu Wang
Apr 6, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shenghua HaoTaotao Huang
Aug 4, 2020·Langenbeck's Archives of Surgery·Safi DokmakOlivier Soubrane
Dec 11, 2014·World Journal of Gastroenterology : WJG·Lei LiJia-Yin Yang
Apr 4, 2017·Surgery Today·Rami RhaiemDaniele Sommacale
Jul 6, 2018·Journal of Hepato-biliary-pancreatic Sciences·Shun-Ichi AriizumiMasakazu Yamamoto

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