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Comparison of Long-Term Survival of Patients with BCLC Stage B Hepatocellular Carcinoma after Liver Resection or Transarterial Chemoembolization

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  • Jian-Hong Zhong
  • Bang-De Xiang
  • Wen-Feng Gong
  • Yang Ke
  • Qin-Guo Mo
  • Liang Ma
  • Xing Liu
  • Le-Qun Li

Abstract

Background and Aims: Treatment of patients with Barcelona Clinic Liver Cancer Stage B hepatocellular carcinoma (BCLC-B HCC) is controversial. This study compared the long-term survival of patients with BCLC-B HCC who received liver resection (LR) or transarterial chemoembolization (TACE). Methods: A total of 257 and 135 BCLC-B HCC patients undergoing LR and TACE, respectively, were retrospectively evaluated. Kaplan–Meier method was used for long-term survival analysis. Independent prognostic predictors were determined by the Cox proportional hazards model. Results: The hospital mortality rate was similar between groups (3.1% vs. 3.7%; P = 0.76). However, the LR group showed a significantly higher postoperative complication rate than the TACE group (28 vs. 18.5%; P = 0.04). At the same time, the LR group showed significantly higher overall survival rates (1 year, 84 vs. 69%; 3 years, 59 vs. 29%; 5 years, 37 vs. 14%; P

Suggested Citation

  • Jian-Hong Zhong & Bang-De Xiang & Wen-Feng Gong & Yang Ke & Qin-Guo Mo & Liang Ma & Xing Liu & Le-Qun Li, 2013. "Comparison of Long-Term Survival of Patients with BCLC Stage B Hepatocellular Carcinoma after Liver Resection or Transarterial Chemoembolization," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-8, July.
    • Handle: RePEc:plo:pone00:0068193
    DOI: 10.1371/journal.pone.0068193
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    Cited by:

    1. Shao-Liang Zhu & Yang Ke & Yu-Chong Peng & Liang Ma & Hang Li & Le-Qun Li & Jian-Hong Zhong, 2014. "Comparison of Long-Term Survival of Patients with Solitary Large Hepatocellular Carcinoma of BCLC Stage A after Liver Resection or Transarterial Chemoembolization: A Propensity Score Analysis," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-13, December.
    2. Yuri Cho & Dong Hyun Sinn & Su Jong Yu & Geum Youn Gwak & Ji Hoon Kim & Yang Jae Yoo & Dae Won Jun & Tae Yeob Kim & Hyo Young Lee & Eun Ju Cho & Jeong-Hoon Lee & Yoon Jun Kim & Jung-Hwan Yoon, 2016. "Survival Analysis of Single Large (>5 cm) Hepatocellular Carcinoma Patients: BCLC A versus B," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-14, November.

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