Wu XY, Qiu YD, Ding YT. Criteria for case selection and perioperative management in liver transplantation for primary liver carcinoma.
Shijie Huaren Xiaohua Zazhi 2013;
21:3876-3880. [DOI:
10.11569/wcjd.v21.i34.3876]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To summarize our experience with the treatment of hepatocellular carcinoma (HCC) by liver transplantation.
METHODS: The clinic data for 46 HCC patients treated by liver transplantation from November 2005 to January 2011 were analyzed retrospectively. The effects of factors such as the number and diameter of tumors, vascular invasion and perioperative management on the prognosis were analyzed.
RESULTS: Piggy-back liver transplantation was performed in 42 cases, and conventional liver transplantation was performed in 4 cases. Liver transplantation was successful in 45 cases, and 19 patients are still alive. The longest tumor-free survival was 63 mo. Recurrence occurred in 2 patients at 2 and 17 mo after operation, respectively.
CONCLUSION: Portal vein invasion should be the contradiction for liver transplantation. Modified piggy-back liver transplantation could be the choice for the treatment of primary liver carcinoma. Perioperative management with cool-tip radiofrequency ablation (RFA) is beneficial to the prognosis.
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