Total vascular exclusion technique for resection of hepatocellular carcinoma

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Oct 15, 2003 (publication date) through Mar 2, 2025

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Liver Cancer

World J Gastroenterol. Oct 15, 2003; 9(10): 2194-2197
Published online Oct 15, 2003. doi: 10.3748/wjg.v9.i10.2194

Table 1 General clinical data

^aP < 0.05 vs statistically significant when compared with group B.

Table 2 Pathologic data

Clinical parameters	Group A (n = 78)	Group B (n = 176)
The mass
Median diameter (cm)	11.58 (6.2-24.6)^a	6.25 (1.8-12.7)
> or = 5 cm	72 (92.30%)^a	118 (67.05%)
> or = 10 cm	53 (67.95%)^a	28 (15.90%)
Close or invade vana cana	23 (29.49%)^a	17 (9.65%)
Close or invade major	21 (26.92%)^a	13 (7.39%)
hepatic vein
Close or invade major bile duct	11 (14.10%)^a	8 (4.55%)
Close or invade major port vein	32 (41.03%)^a	22 (12.5%)
TNM tumor stage
Stage 1	6 (7.69%)^a	49 (27.84%)
Stage 2	12 (15.38%)^a	71 (40.34%)
Stage 3	36 (46.15%)^a	32 (18.19%)
Stage 4a	20 (25.64%)^a	22 (12.5%)
Stage 4b	4 (5.13%)^a	2 (1.14%)
Cirrhosis	59 (75.64%)	120 (68.18%)
Multiple tumor	8 (10.25%)^a	6 (3.41%)
Caudate lobe tumor	4 (5.13%)^a	0 (0)
Tumor free resection margin	74 (94.87%)	173 (98.3%)
Tumor rupture during operation	11 (14.10%)^a	13 (7.39%)

^aP < 0.05 vs statistically significant when compared with group B.

Table 3 Postoperative complications

Clinical parameters	Group A	Group B
Bleeding	16 (20.51%)	29 (16.48%)
Bile leakage	6 (7.69%)^a	8 (4.55%)
Infection (including abscess)	12 (15.38%)	23 (13.68)
Pleural effusion	31 (39.74%)^a	34 (19.32%)
Reoperation within 24 h	3 (3.85%)	6 (3.40%)
after operation
Ascites	16 (20.51%)^a	20 (11.36%)
Jaundice	6 (7.69%)^a	5 (2.84%)
Hepatic failure	6 (7.69%)^a	5 (2.84%)
Total morbidity	40 (51.28%)^a	45 (25.57%)
Perioperative mortality	2 (2.56%)	5 (2.84%)

^aP < 0.05 vs statistically significant when compared with group B.

Table 4 Outcome after hepatic resection

^aP < 0.05 vs statistically significant when compared with group B;

^bP < 0.05 vs statistically significant when compared with group C.

Citation: Yin ZY, Wang XM, Yu RX, Zhang BM, Yu KK, Li N, Li JS. Total vascular exclusion technique for resection of hepatocellular carcinoma. World J Gastroenterol 2003; 9(10): 2194-2197
URL: https://www.wjgnet.com/1007-9327/full/v9/i10/2194.htm
DOI: https://dx.doi.org/10.3748/wjg.v9.i10.2194