Selected article for: "high rate and pleural effusion"
Author: Shirata, Chikara; Hasegawa, Kiyoshi; Kokudo, Takashi; Yamashita, Suguru; Yamamoto, Satoshi; Arita, Junichi; Akamatsu, Nobuhisa; Kaneko, Junichi; Sakamoto, Yoshihiro; Kokudo, Norihiro
Title: Liver Resection for Hepatocellular Carcinoma in Patients with Renal Dysfunction
  • Cord-id: z1slzzve
  • Document date: 2018_6_8
    • ID: z1slzzve
    Snippet: BACKGROUND: The aim of this study was to evaluate the feasibility of liver resection in hepatocellular carcinoma (HCC) patients with preoperative renal dysfunction (RD). METHODS: Data from 735 patients undergoing primary liver resection for HCC between 2002 and 2014 were analyzed. Short- and long-term outcomes were compared between the RD group, defined by a preoperative estimated glomerular filtration rate of <45 mL/min/1.73 m(2), and the non-RD group. RESULTS: Sixty-two patients had RD. The in
    Document: BACKGROUND: The aim of this study was to evaluate the feasibility of liver resection in hepatocellular carcinoma (HCC) patients with preoperative renal dysfunction (RD). METHODS: Data from 735 patients undergoing primary liver resection for HCC between 2002 and 2014 were analyzed. Short- and long-term outcomes were compared between the RD group, defined by a preoperative estimated glomerular filtration rate of <45 mL/min/1.73 m(2), and the non-RD group. RESULTS: Sixty-two patients had RD. The incidence of postoperative pleural effusion (24 vs. 11%; P = 0.007) and major complications (Clavien–Dindo III–V; 31 vs. 15%; P = 0.003) were significantly higher in RD patients. In RD patients with Child-Pugh A, 90-day mortality rate (1.9%) and median survival time (6.11 years) were comparable to that of non-RD patients. In contrast, RD patients with Child-Pugh B had a very high 90-day mortality rate (22.2%), and a significant shorter median survival time compared to non-RD patients (1.19 vs. 4.84 years; P = 0.001). CONCLUSIONS: Liver resection for Child-Pugh A patients with RD is safe and has comparable oncological outcomes compared to non-RD patients. However, selection of liver resection candidates from Child-Pugh B patients with RD should be stricter. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00268-018-4698-3) contains supplementary material, which is available to authorized users.

    Search related documents:
    Co phrase search for related documents
    • acute myocardial infarction and liver disease: 1, 2, 3, 4, 5, 6
    • acute myocardial infarction and liver failure: 1, 2, 3
    • acute myocardial infarction and liver function: 1
    • acute myocardial infarction and logistic regression: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
    • acute myocardial infarction and logistic regression model: 1, 2, 3, 4, 5, 6, 7, 8, 9
    • liver cirrhosis and logistic regression: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14
    • liver cirrhosis and logistic regression model: 1, 2
    • liver cirrhosis presence and logistic regression: 1
    • liver disease and logistic regression: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
    • liver disease and logistic regression model: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15
    • liver failure and logistic regression: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16
    • liver failure and logistic regression model: 1, 2, 3
    • liver function and logistic regression: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25
    • liver function and logistic regression model: 1, 2, 3, 4, 5
    • liver function impairment and logistic regression: 1
    • liver resection and logistic regression: 1, 2, 3
    • liver resection and logistic regression model: 1
    • log rank test compare and logistic regression model: 1, 2