書誌事項
- タイトル別名
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- Surgical Strategies and Tumor-free Survival in Large Hepatocellular Carcinoma.
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抄録
Eighty-three patients with large hepatocellular carcinoma (>5cm), who underwent hepatic resections were analyzed for 30 clinicopathologic variables related to tumor-free survival after surgery. Univariate analysis showed that major hepatic resection (n=49), singlenodular case (n=41), no portal invasion (n=75), no intrahepatic metastasis (n=36), complete surgical margin (n=36) and curative operation (n=25) were significant independent factors for longer tumor-free survival. Using multivariate analysis, only no intrahepatic metastasis on its own found to be an independent factor. Although 16 of 49 patients with majorhepatic resec-tion underwent percutaneous transhepatic portal embolization before surgery, it was not an independent prognostic factor in tumor-free survival. In order to have a long tumor-free survival for large HCCs, curative major hepatic resection with a complete surgical margin seemed to be necessary. Percutaneous transhepatic portal embolization may contribute to extension of surgical indications for large HCCs.
収録刊行物
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- 日本消化器外科学会雑誌
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日本消化器外科学会雑誌 32 (11), 2519-2525, 1999
一般社団法人 日本消化器外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679891558784
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- NII論文ID
- 130004343237
- 110001336781
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- NII書誌ID
- AN00192066
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- ISSN
- 13489372
- 03869768
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可