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Τρίτη 20 Οκτωβρίου 2020

Selection of patients with esophageal varices for liver resection of hepatocellular carcinoma.

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Authors: Midorikawa Y, Takayama T, Higaki T, Aramaki O, Yoshida N, Teramoto K, Tsuji S Abstract The presence of esophageal varices (EV) is a phenotype of portal hypertension, and the indications of liver resection for hepatocellular carcinoma (HCC) in patients with concomitant EV are conflicting. This retrospective study aimed to elucidate if there is justification for liver resection in patients with EV. The surgical outcomes were compared between the patients who underwent resection for HCC with EV (EV group) and those without EV (non-EV group) after propensity-score matching. More bleeding was prevalent (P < 0.001) and refractory ascites was more frequently observed (P = 0.031) in the EV group (n = 277) compared with the non-EV group (n = 277); however, the numbers of patient...

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