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Article: Outcomes of central bisectionectomy for hepatocellular carcinoma

TitleOutcomes of central bisectionectomy for hepatocellular carcinoma
Authors
Issue Date2013
Citation
HPB, 2013, v. 15, n. 7, p. 529-534 How to Cite?
AbstractBackground: Central bisectionectomy (resection of Couinaud segments IV, V and VIII) for malignant or benign disease poses a technical challenge to the surgeon but if feasible, has significant benefits in terms of conserving liver volume and options for future intervention. This study reviews a cohort of patients who underwent this procedure; outlines the indications, optimal operative technique as well as both short- and long-term outcomes. Methods: A retrospective review of a prospectively maintained database was performed. Pre-operative clinicopathological data, operative details and post-operative outcomes including overall and diseasefree survival were analysed. Results: Between 1989 and 2009, 21 patients underwent a central bisectionectomy. All procedures were performed for hepatocellular carcinoma (HCC). All patients underwent a R0 resection with a median resection margin of 5 mm (1-15 mm). The 1-, 3- and 5-year disease-free survivals were 65%, 34.8% and 34.8%, and the corresponding overall survival rates were 90.5%, 66.8% and 66.8%, respectively. Conclusion: These data support the use of a central bisectionectomy in selected cases in the management of HCC. With the use of a meticulous operative technique and adherence to surgical oncological principles, satisfactory long-term outcomes were achievable. © 2012 International Hepato-Pancreato-Biliary Association.
Persistent Identifierhttp://hdl.handle.net/10722/221354
ISSN
2015 Impact Factor: 2.918
2015 SCImago Journal Rankings: 1.586

 

DC FieldValueLanguage
dc.contributor.authorGallagher, TK-
dc.contributor.authorChan, ACY-
dc.contributor.authorPoon, RTP-
dc.contributor.authorCheung, TT-
dc.contributor.authorChok, KSH-
dc.contributor.authorChan, SC-
dc.contributor.authorLo, CM-
dc.date.accessioned2015-11-18T06:09:05Z-
dc.date.available2015-11-18T06:09:05Z-
dc.date.issued2013-
dc.identifier.citationHPB, 2013, v. 15, n. 7, p. 529-534-
dc.identifier.issn1365-182X-
dc.identifier.urihttp://hdl.handle.net/10722/221354-
dc.description.abstractBackground: Central bisectionectomy (resection of Couinaud segments IV, V and VIII) for malignant or benign disease poses a technical challenge to the surgeon but if feasible, has significant benefits in terms of conserving liver volume and options for future intervention. This study reviews a cohort of patients who underwent this procedure; outlines the indications, optimal operative technique as well as both short- and long-term outcomes. Methods: A retrospective review of a prospectively maintained database was performed. Pre-operative clinicopathological data, operative details and post-operative outcomes including overall and diseasefree survival were analysed. Results: Between 1989 and 2009, 21 patients underwent a central bisectionectomy. All procedures were performed for hepatocellular carcinoma (HCC). All patients underwent a R0 resection with a median resection margin of 5 mm (1-15 mm). The 1-, 3- and 5-year disease-free survivals were 65%, 34.8% and 34.8%, and the corresponding overall survival rates were 90.5%, 66.8% and 66.8%, respectively. Conclusion: These data support the use of a central bisectionectomy in selected cases in the management of HCC. With the use of a meticulous operative technique and adherence to surgical oncological principles, satisfactory long-term outcomes were achievable. © 2012 International Hepato-Pancreato-Biliary Association.-
dc.languageeng-
dc.relation.ispartofHPB-
dc.titleOutcomes of central bisectionectomy for hepatocellular carcinoma-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1477-2574.2012.00615.x-
dc.identifier.pmid23750496-
dc.identifier.scopuseid_2-s2.0-84892654009-
dc.identifier.hkuros218953-
dc.identifier.volume15-
dc.identifier.issue7-
dc.identifier.spage529-
dc.identifier.epage534-
dc.identifier.eissn1477-2574-

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