Impact of obesity on the surgical outcome following repeat hepatic resection in Japanese patients with recurrent hepatocellular carcinoma.

作者: Tohru Utsunomiya

DOI: 10.3748/WJG.14.1553

关键词: GastroenterologySurvival rateRecurrent Hepatocellular CarcinomaHepatectomyInternal medicineSurgeryAdverse effectMedicineIncidence (epidemiology)Hepatocellular carcinomaRetrospective cohort studyBody mass index

摘要: AIM: To evaluate the impact of obesity on posto-perative outcome after hepatic resection in patients with hepatocellular carcinoma (HCC). METHODS: Data from 328 consecutive primary HCC and 60 recurrent were studied. We compared surgical outcomes between non-obese group (body mass index: BMI < 25 kg/m2) obese (BMI ≥ kg/m2). RESULTS: Following curative hepatectomy HCC, incidence postoperative complications long-term prognosis (n = 240) comparable to those 88). Among repeat was not significantly different 44) 16). However, showed a poorer than (P 0.05, five-year survival rate; 51.9% 92.0%, respectively). CONCLUSION: Obesity alone may have an adverse effect HCC. greater caution seems be required when planning for

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