Indication of the extent of hepatectomy for hepatocellular carcinoma on cirrhosis by a simple algorithm based on preoperative variables

Matteo Cescon, Alessandro Cucchetti, Gian Luca Grazi, Alessandro Ferrero, Luca Viganò, Giorgio Ercolani, Matteo Zanello, Matteo Ravaioli, Lorenzo Capussotti, Antonio Daniele Pinna

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Abstract

Objective: To produce a model indicating the extent of hepatectomy for hepatocellular carcinoma on cirrhosis based on easily available preoperative data. Design: Retrospective study based on multicenter prospectively updated databases. Setting: Two tertiary referral centers specializing in hepatobiliary surgery. Patients: A total of 466 patients undergoing hepatectomy for hepatocellular carcinoma on cirrhosis between 1995 and 2006. Main Outcome Measures: To create a decision tree for safe liver resection based on factors affecting irreversible postoperative liver failure (IPLF). Results: A total of 23 patients (4.9%) developed IPLF. The model for end-stage liver disease (MELD) score (categorized as 10; P

Original languageEnglish
Pages (from-to)57-63
Number of pages7
JournalArchives of Surgery
Volume144
Issue number1
DOIs
Publication statusPublished - Jan 2009

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ASJC Scopus subject areas

  • Surgery

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