지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.12
- 수록면
- 227 - 234 (8page)
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Purpose: A few studies have been reported on extrahepatic metastasis after curative resection for hepatocellular carcinoma (HCC). We investigated the patterns of extrahepatic recurrence and we identified the risk factors for extrahepatic recurrence after curative resection for HCC.
Methods: We retrospectively reviewed 587 patients who underwent surgical resection with a curative aim from January 1998 to December 2007 in the Yonsei University Health Care System. Among the 571 patients, 291 (51.0%) patients developed recurrence. Sixty five patients initially presented with extrahaptic recurrence. The patients with extrahepatic recurrence were divided into Group A (peritoneal recurrence) and Group B (non-peritoneal extrahepatic recurrence).
Results: Group A had higher rates of intraoperative bleeding＞1,500 ml and perioperative transfusion too. On the multivariate analysis, perioperative transfusion, satellite nodule and the tumor size were the independent risk factors for Group A. The Edmondson-Steiner grade, satellite nodule and the tumor size were the independent risk factors for Group B. The 1, 3 and 5-year overall survival rates after curative resection for the patients with extrahepatic recurence were 83.1%, 48.9% and 27.4%, respectively. The recurrence patterns and treatment modalities did not affect the overall survival after treatment for extrahepatic recurrence.
Conclusion: A perioperative transfusion was found to be a different risk factor for peritoneal recurrence, as compared to those risk factors for non-peritoneal extrahepatic recurrence. Therefore, efforts by physicians to decrease intraoperative bleeding may prevent peritoneal recurrence after performing curative resection for HCC.
Methods: We retrospectively reviewed 587 patients who underwent surgical resection with a curative aim from January 1998 to December 2007 in the Yonsei University Health Care System. Among the 571 patients, 291 (51.0%) patients developed recurrence. Sixty five patients initially presented with extrahaptic recurrence. The patients with extrahepatic recurrence were divided into Group A (peritoneal recurrence) and Group B (non-peritoneal extrahepatic recurrence).
Results: Group A had higher rates of intraoperative bleeding＞1,500 ml and perioperative transfusion too. On the multivariate analysis, perioperative transfusion, satellite nodule and the tumor size were the independent risk factors for Group A. The Edmondson-Steiner grade, satellite nodule and the tumor size were the independent risk factors for Group B. The 1, 3 and 5-year overall survival rates after curative resection for the patients with extrahepatic recurence were 83.1%, 48.9% and 27.4%, respectively. The recurrence patterns and treatment modalities did not affect the overall survival after treatment for extrahepatic recurrence.
Conclusion: A perioperative transfusion was found to be a different risk factor for peritoneal recurrence, as compared to those risk factors for non-peritoneal extrahepatic recurrence. Therefore, efforts by physicians to decrease intraoperative bleeding may prevent peritoneal recurrence after performing curative resection for HCC.
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참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - Shimada K / 2007 / Analysis of prognostic factors affecting survival after initial recurrence and treatment efficacy for recurrence in patients undergoing potentially curative hepatectomy for hepatocellular carcinoma / Ann Surg Oncol 14 : 2337 ~ 2347
2. [학술지(정기간행물)] - Portolani N / 2006 / Early and late recurrence after liver resection for hepatocellular carcinoma: prognostic and therapeutic implications / Ann Surg 243 : 229 ~ 235
3. [학술지(정기간행물)] - Poon RT / 2001 / Improving survival results after resection of hepatocellular carcinoma: a prospective study of 377 patients over 10 years / Ann Surg 234 : 63 ~ 70
4. [학술지(정기간행물)] - Cha C / 2003 / Predictors and patterns of recurrence after resection of hepatocellular carcinoma / J Am Coll Surg 197 : 753 ~ 758
5. [학술지(정기간행물)] - Tung-Ping Poon R / 2000 / Risk factors, prevention, and management of postoperative recurrence after resection of hepatocellular carcinoma / Ann Surg 232 : 10 ~ 24
2. [학술지(정기간행물)] - Portolani N / 2006 / Early and late recurrence after liver resection for hepatocellular carcinoma: prognostic and therapeutic implications / Ann Surg 243 : 229 ~ 235
3. [학술지(정기간행물)] - Poon RT / 2001 / Improving survival results after resection of hepatocellular carcinoma: a prospective study of 377 patients over 10 years / Ann Surg 234 : 63 ~ 70
4. [학술지(정기간행물)] - Cha C / 2003 / Predictors and patterns of recurrence after resection of hepatocellular carcinoma / J Am Coll Surg 197 : 753 ~ 758
5. [학술지(정기간행물)] - Tung-Ping Poon R / 2000 / Risk factors, prevention, and management of postoperative recurrence after resection of hepatocellular carcinoma / Ann Surg 232 : 10 ~ 24
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UCI(KEPA) : I410-ECN-0101-2014-514-001267698