Preoperative spleen-liver volume ratio predicts the risk of liver cancer recurrence after hepatectomy / 中华普通外科杂志
Chinese Journal of General Surgery
;
(12): 181-184, 2015.
Article
in Chinese
| WPRIM
| ID: wpr-468791
ABSTRACT
Objective To explore the value of preoperative spleen-liver volume ratio for predicting recurrence of primary liver cancer after hepatectomy.Methods Clinical data of 75 cases of hepatocellular carcinoma undergoing hepatectomy were analyzed retrospectively.According to the preoperative spleen-liver volume ratio,these patients were divided into 2 groupsthose with spleen-liver volume ratio < 0.8,and spleen-liver volume ratio≥0.8.Patients were followed-up until March 2014.Cox ratio risk pattern analysis was used for the recurrent correlative factors.Results Univariate analysis showed that preoperative AFPL3% ≥ 10%,the maximum diameter of the tumor > 5 cm,the number of tumor > 3,spleen-liver volume ratio ≥0.8,vascular invasion,positive resection margin and hepatic or portal vein tumor thrombus were all risk factors of poor disease-free survival (P < 0.05).Cox regression analysis revealed that spleen-liver volume ratio ≥0.8,AFP-L3% ≥10%,the maximum diameter of the tumor >5 cm and hepatic or portal vein tumor thrombus were independent predictors of poor disease-free survival after hepatectomy for hepatocellular carcinoma(P < 0.05).Conclusions Preoperative spleen-liver volume ratio ≥0.8 was an independent adverse predictor of poor disease-free survival.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Language:
Chinese
Journal:
Chinese Journal of General Surgery
Year:
2015
Type:
Article
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