The effect of preoperative transcatheter hepatic arterial chemoembolization on disease-free survival after hepatectomy for hepatocellular carcinoma

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阅读量:

96

作者:

Z ZhangM WuQ Liu

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摘要:

Objective To evaluate postoperative transcatheter hepatic arterial chemoembolization (TACE) for improving the disease free survival of HCC patients after hepatectomy. Methods 1 725 HCC patients were followed up after hepatectomy retrospectively. Of 1 457 patients who were followed up completely, 209 had postoperative TACE. The 1 457 patients were divided into ten groups according to tumor thrombus, small HCC, capsular invasion, vescular invasion and cirrosis. The disease free survival was analyzed between subgroups of weather postoperative TACE was performed in every group. Software SAS 6 12 and EGRET package were used. Kaplan Meier estimation was used to calculate the disease free survival rates. Results There were no difference of the disease free survival between the subgroups in no capsular invasion and in no hepatic cirrhosis groups. Conclusion Postoperative TACE is helpful in improving the disease free survival of HCC patients after hepatectomy except those with integrated tumor envelope or no hepatocirrhosis. It is important to prolong the long term results of operation.

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DOI:

10.1002/1097-0142(20001215)89:12<2606::AID-CNCR13>3.0.CO;2-T

被引量:

815

年份:

2002

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