A Comparison of Hepatic Resection and Ablative Therapy regarding the Survival of Hepatocellular Carcinoma Patients in Nagasaki
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概要
- 論文の詳細を見る
To identify the effect of local treatments for hepatocellular carcinoma (HCC) in our associated institutes in Nagasaki prefecture, we performed a comparative study of hepatic resection and local ablative therapies, including alcohol injection, microwave coagulation and radio-frequency ablation. We examined the patient demographics, outcomes and tumor-free and overall survival between a hepatectomy group (n=210) and a local ablative therapy group (n=52). In the ablative therapy group, there were significantly more patients with cirrhosis and poorer hepatic function than in the hepatectomy group (p<0.001). Larger tumors and vascular involvement in the hepatectomy group were significantly more frequent than in the ablative therapy group (p<0.001 and p=0.002, respectively). The multivariate Cox regression analysis indicated no significant difference either in the time to the first recurrence of tumor after surgery or in mortality between ablative therapy and hepatectomy. By making full use of various modalities in each specialty, the satisfactory HCC treatment could be achieved at this stage.
- 長崎大学の論文
著者
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Omagari Katsuhisa
Second Department of Internal Medicine, Nagasaki University School of Medicine
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Nakashima Atsushi
Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Gra
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Omagari Katsuhisa
Second Department Of Internal Medicine Department Of Translational Medical Sciences Nagasaki Univers
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Omagari Katsuhisa
Second Department Of Internal Medicine Nagasaki University Graduate School Of Biomedical Sciences
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Nakashima Atsushi
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Aritomi Tomoyuki
Department Of Internal Medicine Mitsubishi Hospital
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Nanashima Atsushi
Division Of Surgical Oncology And Department Of Surgery Nagasaki University Hospital
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Yamaguchi Hiroyuki
Second Department Of Internal Medicine Nagasaki University School Of Medicine
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Aritomi Tomoyuki
Department Of Immunology And Rheumatology Graduate School Of Biomedical Sciences Nagasaki University
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Omagari Katsuhisa
Department Of Gastroenterology And Hepatology Nagasaki University Graduate School Of Biomedical Scie
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