Hepatic resections for hepatocarcinoma in the XXI century
Ramacciato, G.; Mercantini, P.; Nigri, G.; Giaccaglia, V.; Dente, M.; Del Gaudio, M.; Lauro, A.; Ercolani, G.; Pinna, A.D.
Minerva Chirurgica 63(1): 45-60
2008
ISSN/ISBN: 0026-4733 PMID: 18212727 Document Number: 621325
Hepatic resection is today the treatment of choice for cirrhotic patients affected by hepatocellular carcinoma (HCC). Short term results are now definitely satisfactory, with a mortality rate in the referral centers lower than 5%. However, long term results are affected by a high recurrence rate, between 50% and 100%, due to the underlying cirrhosis. Notwithstanding the high recurrence rate, the hepatic resection guarantees a five years survival between 40% and 60%, comparable to the one offered by liver transplantation. The aim of this paper is to review the results of studies on resected cirrhotic patients affected by HCC.