Hepatectomy for stage B and stage C hepatocellular carcinoma in the Barcelona Clinic liver cancer classification: Results of a prospective analysis

Guido Torzilli, Matteo Donadon, Matteo Marconi, Angela Palmisano, Daniele Del Fabbro, Antonino Spinelli, Florin Botea, Marco Montorsi

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Hypothesis: Using an algorithm for selection of patients with hepatocellular carcinoma (HCC) for surgery, Barcelona Clinic Liver Cancer (BCLC) classification stage B and stage C disease is not a contraindication. Design: Prospective cohort study. Setting: University tertiary care hospital. Patients: Among 163 consecutive patients with HCC, 120 (73.6%) underwent surgery; 113 of 120 (94.2%) underwent resection. Of 113 patients, 61 (54.0%) had BCLC stage 0 or A disease, 24 (21.2%) had stage B disease, and 28 (24.8%) had stage C disease. Interventions: Surgical strategy was based on the relationship of the tumor to the intrahepatic vascular structures on intraoperative ultrasonography. Main Outcome Measures: Mortality, morbidity, rate of cut edge local recurrences, and long-term outcome were evaluated. P

Original languageEnglish
Pages (from-to)1082-1090
Number of pages9
JournalArchives of Surgery
Issue number11
Publication statusPublished - Nov 2008


ASJC Scopus subject areas

  • Surgery

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