Background. Treatment selection for small hepatocellular carcinoma (sHCC) is controversial. We aimed to compare the outcomes of medical imaging three-dimensional visualization system (MI-3DVS) guided surgical resection (SR) and ultrasonography guided radiofrequency ablation (RFA) for sHCC. Methods. In total, 194 patients who underwent SR or RFA in our hospital between January 2006 and May 2010 were retrospectively enrolled. Overall survival (OS), recurrence-free survival (RFS), and postoperative complications were compared. Cox regression was used to estimate the benefits of MI-3DVS-guided SR on OS and RFS. Results. Ninety-two patients underwent SR and 102 underwent RFA. The SR group experienced more complications (41.3% versus 19.6%) and longer hospital stay ( versus ) (both ). The 1-, 2-, 3-, 4-, and 5-year OS was 96.7%, 95.7%, 93.5%, 83.5%, and 61.1% in the SR group and 95.0%, 88.1%, 72.7%, 56.9%, and 39.5% in the RFA group. Corresponding RFS was 95.7%, 94.6%, 84.7%, 59.8%, and 40.2% in SR group and 91.2%, 80.3%, 60.5%, 32.3%, and 22.3% in RFA group. The 5-year OS and RFS were higher in SR group (both ). Interestingly, there was no significance in OS and RFS among subgroups aged >60 years. Independent predictors of OS and RFS, respectively, were intervention (HR, 2.769 and 1.933), tumor number (HR, 5.128 and 3.903), and serum alpha-fetoprotein (AFP) (HR, 1.871 and 1.474) (all ). Conclusions. MI-3DVS based hepatectomy should be considered primary treatment while RFA can be treated as alternative therapy for older patients. Intervention, tumor number, and AFP are independent predictors for both survival and recurrence.
from #Medicine via ola Kala on Inoreader http://ift.tt/1T7LFdK
via IFTTT
Αρχειοθήκη ιστολογίου
-
►
2023
(138)
- ► Φεβρουαρίου (74)
- ► Ιανουαρίου (64)
-
►
2022
(849)
- ► Δεκεμβρίου (61)
- ► Σεπτεμβρίου (74)
- ► Φεβρουαρίου (65)
-
►
2021
(2936)
- ► Δεκεμβρίου (59)
- ► Σεπτεμβρίου (180)
- ► Φεβρουαρίου (325)
-
►
2020
(1624)
- ► Δεκεμβρίου (293)
- ► Σεπτεμβρίου (234)
- ► Φεβρουαρίου (28)
-
►
2019
(13362)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (5586)
- ► Ιανουαρίου (5696)
-
►
2018
(66471)
- ► Δεκεμβρίου (5242)
- ► Σεπτεμβρίου (5478)
- ► Φεβρουαρίου (4835)
- ► Ιανουαρίου (5592)
-
►
2017
(44259)
- ► Δεκεμβρίου (5110)
- ► Σεπτεμβρίου (5105)
-
▼
2016
(7467)
- ► Δεκεμβρίου (514)
- ► Σεπτεμβρίου (1038)
-
▼
Μαΐου
(630)
-
▼
Μαΐ 12
(50)
- A preliminary study of how the viscosity of dietar...
- IJERPH, Vol. 13, Pages 494: Prevention of Asbestos...
- Toxins, Vol. 8, Pages 144: Two Novel Dermaseptin-L...
- Sensors, Vol. 16, Pages 688: Particle and Photon D...
- Future Internet, Vol. 8, Pages 19: Computational S...
- Sensors, Vol. 16, Pages 670: Model-Driven Approach...
- IJERPH, Vol. 13, Pages 493: Factors Affecting Pare...
- Sustainability, Vol. 8, Pages 471: Wetland Transit...
- Nanomaterials, Vol. 6, Pages 89: Modification of t...
- Metals, Vol. 6, Pages 110: Melt Processing and Cha...
- Energies, Vol. 9, Pages 359: Techno-Economic Analy...
- Sensors, Vol. 16, Pages 678: An in-Depth Survey of...
- IJERPH, Vol. 13, Pages 484: Effects of Fine Partic...
- Applied Sciences, Vol. 6, Pages 147: Physical and ...
- Information, Vol. 7, Pages 24: Super-Activation as...
- Games, Vol. 7, Pages 12: Time-Preference Heterogen...
- Evaluating the Impact of Antibiotic Exposures as T...
- Quantitative interactome reveals that porcine repr...
- Xanthomonas citri subsp. citri surface proteome by...
- Comprehensive Quantification of N-Glycoproteome in...
- Forests, Vol. 7, Pages 103: Regional Instability i...
- Cells, Vol. 5, Pages 23: The Ubiquitination of NF-...
- Sustainability, Vol. 8, Pages 469: Effect of the I...
- Bioengineering, Vol. 3, Pages 14: Biodiesel Produc...
- Association between SNP12 in estrogen receptor α g...
- Effect of risk factors on the prevalence of influe...
- Whole-cell conversion of l-glutamic acid into gamm...
- Reconstruction of acetabulum in revision total hip...
- Impact of central obesity on prognostic outcome of...
- Screening of Bioactivities and Toxicity of Cnidosc...
- GC-MS Analysis: In Vivo Hepatoprotective and Antio...
- Genotyping-by-sequencing in an orphan plant specie...
- Subclinical inflammation in relation to insulin re...
- Using qualitative research methods in biomedical i...
- A Comparison between Three-Dimensional Visualizati...
- Sensors, Vol. 16, Pages 681: Self-Mixing Demodulat...
- Sustainability, Vol. 8, Pages 472: Potential for E...
- Sensors, Vol. 16, Pages 684: Communication Range D...
- Sustainability, Vol. 8, Pages 470: Developing an I...
- Marine Drugs, Vol. 14, Pages 94: Bacterial Long-Ch...
- Patterns of Growth and Decline in Lung Function in...
- Clinical Significance of Symptoms in Smokers with ...
- One-Year Outcomes in Caregivers of Critically Ill ...
- Life, Vol. 6, Pages 19: Hans Georg Trüper (1936–20...
- Forests, Vol. 7, Pages 104: Joining Criteria for H...
- Sustainability, Vol. 8, Pages 473: Erratum: Wu, C....
- Energies, Vol. 9, Pages 362: Dynamic Equivalent Mo...
- Crystals, Vol. 6, Pages 54: Bottom-Up Assembly and...
- J. Imaging, Vol. 2, Pages 18: Microwave Imaging Ra...
- Water, Vol. 8, Pages 195: Regional Quasi-Three-Dim...
-
▼
Μαΐ 12
(50)
- ► Φεβρουαρίου (793)
Αναζήτηση αυτού του ιστολογίου
Πέμπτη 12 Μαΐου 2016
A Comparison between Three-Dimensional Visualization Guided Hepatectomy and Ultrasonography Guided Radiofrequency Ablation in the Treatment of Small Hepatocellular Carcinoma within the Milan Criteria
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
-
Αλέξανδρος Γ. Σφακιανάκης Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,0030693260717...
-
heory of COVID-19 pathogenesis Publication date: November 2020Source: Medical Hypotheses, Volume 144Author(s): Yuichiro J. Suzuki ScienceD...
-
Alimentary Pharmacology &Therapeutics, EarlyView. https://ift.tt/2qECBIJ
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου
Σημείωση: Μόνο ένα μέλος αυτού του ιστολογίου μπορεί να αναρτήσει σχόλιο.