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Comparison between anatomical subsegmentectomy and nonanatomical partial resection for hepatocellular carcinoma located within a single subsegment: a single-center retrospective analysis.
- Source :
-
Hepato-gastroenterology [Hepatogastroenterology] 2015 Mar-Apr; Vol. 62 (138), pp. 363-7. - Publication Year :
- 2015
-
Abstract
- Background/aims: For hepatocellular carcinoma (HCC) within a single subsegment, the superiority of anatomical subsegmentectomy over non-anatomical partial resection is still controversial. In this study, we assessed the potential benefit of subsegmentectomy.<br />Methodology: We selected 44 patients with a single HCC lesion within one subsegment who had undergone anatomical subsegmentectomy or non-anatomical partial resection from among 173 patients who underwent hepatectomy in our hospital from August 2003 to May 2013. We compared the results following anatomical subsegmentectomy (Group A; n = 16) and non-anatomical partial resection (Group N; n = 28).<br />Results: One- and two-year survival rates were 92.5% and 89.3%, respectively; 1- and 2-year recurrence-free survival (RFS) rates were 88.9% and 69.1%, respectively. There was no significant difference in overall survival or RFS between the groups. However, among HBV-positive patients, RFS was significantly better for Group A than Group N (p = 0.008).<br />Conclusions: For HBV-positive HCC within a single subsegment, we recommend subsegmentectomy.
- Subjects :
- Aged
Carcinoma, Hepatocellular mortality
Carcinoma, Hepatocellular pathology
Carcinoma, Hepatocellular virology
Disease-Free Survival
Female
Hepatectomy adverse effects
Hepatectomy mortality
Hepatitis B complications
Humans
Japan
Liver Neoplasms mortality
Liver Neoplasms pathology
Liver Neoplasms virology
Male
Middle Aged
Neoplasm Recurrence, Local
Patient Selection
Retrospective Studies
Risk Factors
Survival Analysis
Time Factors
Treatment Outcome
Carcinoma, Hepatocellular surgery
Hepatectomy methods
Liver Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0172-6390
- Volume :
- 62
- Issue :
- 138
- Database :
- MEDLINE
- Journal :
- Hepato-gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 25916064