Copyright
©The Author(s) 2017.
World J Hepatol. May 8, 2017; 9(13): 627-634
Published online May 8, 2017. doi: 10.4254/wjh.v9.i13.627
Published online May 8, 2017. doi: 10.4254/wjh.v9.i13.627
Years | Patients’ number | Surgical approaches | Operative variables and outcomes |
1993 | 19 | Extended major hepatectomy or irregular hepatectomy (large tumor) | Mean operative blood loss: 1186.6 mL |
Mean operative time: 7.5 h | |||
One year overall survival rate: 84.2% | |||
One year recurrence-free survival rate: 73.7%[65] | |||
1999 | 15 | Mesohepatectomy | Mean operative blood loss: 2450 mL |
Hospital stay: 14.9 d | |||
Six year overall survival rate: 30% | |||
Six year recurrence-free survival rate: 21%[2] | |||
2000 | 18 | Mesohepatectomy | Mean operative time: 238 min |
Mean operative blood loss: 914 mL | |||
Hospital stay: 9 d[66] | |||
2003 | 52 | Central hepatectomy | Blood transfusion was needed: 1030 ± 1320 mL |
Bile leak occurred in 4 patients | |||
The median overall survival: 51 mo[35] | |||
2007 | 246 | Mesohepatectomy (larger tumor) | Mean operative blood loss (without pre-TACE): 420 mL |
Overall hospital mortality (without pre-TACE): 0.6% | |||
Five year overall survival rate (without pre-TACE): 31.7%[27] | |||
2008 | 27 | Central bisectionectomy | Median operative time: 330 min |
Twelve patients had postoperative complications and two died | |||
Bile duct injury was the most common complication[36] | |||
2012 | 104 | Hemi-/extended hepatectomy and central hepatectomy | Mean blood loss of hemi-/extended hepatectomy and central hepatectomy: 750 mL and 500 mL |
Five year overall survival rate for hemi-/extended hepatectomy and central hepatectomy: 66.2% and 53.1% | |||
Five year recurrence-free survival rate for hemi-/extended hepatectomy and central hepatectomy: 38.9% and 15%[67] | |||
2013 | 292 | Mesohepatectomy | Mean operative time: 259 min |
Mean operative blood loss: 634 mL | |||
Hospital stay: 10 d[68] | |||
2014 | 350 | Mesohepatectomy | Mean blood loss for large tumor: 950.7 mL |
Ascites was the most common complication | |||
Five year overall survival rate for larger tumor: 30%[69] | |||
2014 | 24 | Mesohepatectomy | Mean operative time: 238 min |
Mean operative blood loss: 480 mL | |||
Three year overall survival rate: 46%[70] | |||
2014 | 198 | Extended hepatectomy and mesohepatectomy | The biliary leakage incidence after mesohepatectomy: 10.2% |
Five year overall survival rate for mesohepatectomy: 28.9% | |||
Five year recurrence free survival rate for mesohepatectomy: 16.9%[71] | |||
2014 | 119 | Hepatectomy with narrow margin | Bile leak occurred in 4 patients |
Five year overall survival rate: 48.3% | |||
Five year recurrence-free survival rate: 27.8%[3] | |||
2015 | 69 | Hemi-/extended hepatectomy and central hepatectomy | Mean blood loss of hemi-/extended hepatectomy and central hepatectomy: 522.2 mL and 447.8 mL |
Hospital stay for hemi-/extended hepatectomy and central hepatectomy: 21.3 and 14.9 d | |||
Three year overall survival rate for hemi-/extended hepatectomy and central hepatectomy: 64% and 61%[72] | |||
2016 | 353 | Mesohepatectomy | Five year overall survival rate: 40.2% |
Five year recurrence-free survival rate: 30.7%[4] |
- Citation: Yu WB, Rao A, Vu V, Xu L, Rao JY, Wu JX. Management of centrally located hepatocellular carcinoma: Update 2016. World J Hepatol 2017; 9(13): 627-634
- URL: https://www.wjgnet.com/1948-5182/full/v9/i13/627.htm
- DOI: https://dx.doi.org/10.4254/wjh.v9.i13.627