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HBV and HCCComment on "Role of Hepatitis B Virus Infection in the Prognosis After Hepatectomy for Hepatocellular Carcinomain Patients With Cirrhosis:A Western Dual-Center Experience"
David Levi, MD;
Andreas Tzakis, MD, PhD
Arch Surg. 2009;144(10):913.
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The surgical management of HCC in the cirrhotic patient remains a tremendous challenge, despite an array of treatment options including hepatic resection, ablative techniques, and liver transplantation. Although not without controversy, most regard resection as the treatment option of choice for solitary, relatively small, resectable lesions in those cirrhotic patients with preserved liver function. Unfortunately, HCC recurrence is common and often affects overall survival. Thus, it is important to determine those factors that predict HCC recurrence for 2 reasons: first, to identify that population most likely to benefit from traditional resection and, second, to direct those at greatest risk for recurrence toward alternate modalities.
In this article, the authors present their experience with resection for HCC in 204 patients. Although retrospective in nature, the patients included are fairly homogeneous: all were cirrhotic, with compensated hepatic function and relatively early HCC. By focusing on . . . [Full Text of this Article]
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Role of Hepatitis B Virus Infection in the Prognosis After Hepatectomy for Hepatocellular Carcinoma in Patients With Cirrhosis: A Western Dual-Center Experience
Matteo Cescon, Alessandro Cucchetti, Gian Luca Grazi, Alessandro Ferrero, Luca Viganò, Giorgio Ercolani, Matteo Ravaioli, Matteo Zanello, Pietro Andreone, Lorenzo Capussotti, and Antonio Daniele Pinna
Arch Surg. 2009;144(10):906-913.
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