Surgical analysis of 29 cases of hepatocellular carcinoma with bile duct tumor thrombus
Journal Title: Chinese Journal of Clinical Research - Year 2024, Vol 37, Issue 6
Abstract
Objective To investigate the surgical treatment effect of hepatocellular carcinoma (HCC) combined with bile duct tumor thrombus and the impact of Satoh classification on patient prognosis. Methods The clinical data of 29 patients with HCC combined with bile duct tumor thrombus who underwent radical surgery (anatomical liver resection/irregular liver resection + bile duct incision and embolectomy) in the Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University from January 2010 to October 2016 were retrospectively analyzed. According to Satoh classification, there were 9 cases of type Ⅰ, 6 cases of type Ⅱ, and 14 cases of type Ⅲ. Results All 29 patients successfully completed the operation, with perioperative death in 1 case (type Ⅲ) and loss to follow-up in 1 case (type Ⅱ). The overall 1-year and 3-year survival rates of patients after surgery were 60.7% and 53.6%, respectively. The 1-year disease-free survival rates of types Ⅰ, Ⅱ, and Ⅲ were 6/9, 3/5, and 6/14, respectively, and the 3-year disease-free survival rates were 5/9, 2/5, and 3/14, respectively. Conclusion For HCC patients combined with bile duct tumor thrombus, active anatomical liver resection/irregular liver resection + bile duct incision and embolectomy can achieve good surgical results. Satoh classification has certain guiding significance for judging patient prognosis.
Authors and Affiliations
JIN Quan, SONG Yan, YU Yabin, XU Jianbo, ZHAO Jiangsheng, CHEN Guofeng, ZHANG Xiaotian, QI Fuzhen
Keywords
Related Articles
- EP ID EP738391
- DOI 10.13429/j.cnki.cjcr.2024.06.011
- Views 54
- Downloads 0
Cognition and demand for “internet+ nursing services” among 3 418 chronic disease patients in Hefei
Objective To understand the cognition and demand for “internet+ nursing services” among chronic disease patients in Hefei, and to analyze the influencing factors, providing a reference for better implementation of “inter...
Exploration on the treatment of gastroesophageal reflux disease by clearing heat and descending the adverse flow of Qi based on “all acid eructation is ascribed to heat”
“All acid eructation is ascribed to heat” is one of the Nineteen items of pathogenesis in the Inner Canon of Yellow Emperor (Huangdi Neijing). This theory underscores the close connection between symptoms such as vomitin...
Application of lidocaine in alleviating breakthrough pain during epidural labor analgesia in obese primiparas
Objective To evaluate the clinical efficacy of lidocaine in alleviating breakthrough pain during labor in obese primiparas and its effect on maternal and infant outcomes. Methods A total of 120 obese primiparas (body mas...
Comparison of the efficacy and safety of programmed cell death protein 1 inhibitors combined with albumin-paclitaxel with or without platinum in the treatment of advanced metastasis or recurrent cervical cancer
<b>Objective</b> To compare the efficacy and safety of programmed cell death protein 1 (PD-1) inhibitor + albumin paclitaxel and platinum + PD-1 inhibitor + albumin-paclitaxel in the treatment of advanced metastasis or r...
Diagnostic value of the combined detection of AFP and other three indexes in hepatocellular carcinoma related to hepatitis B virus
Objective To explore the clinical diagnostic value of combined serum alpha-fetoprotein (AFP), protein induced by vitamin K absence or antagonist-Ⅱ (PIVKA-Ⅱ), hepatic fibrosis 4 index (FIB-4) and tyrosine urine test (TUT)...