Open AccessModern principles of hepatocellular carcinoma treatment
Author(s) -
В. А. Вишневский,
Х. А. Айвазян,
Р. З. Икрамов,
D. Ionkin,
О. И. Жаворонкова,
Ю. А. Степанова,
А. Б. Варава,
Ю. А. Коваленко,
Ю. О. Жариков,
А. Б. Гончаров,
А. А. Олифир,
А. Ю. Пахомова,
С. А. Бугаев,
А. В. Чжао
Publication year - 2020
Publication title -
annaly hirurgičeskoj gepatologii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 1
eISSN - 2408-9524
pISSN - 1995-5464
DOI - 10.16931/1995-5464.2020215-26
Subject(s) - hepatocellular carcinoma , medicine , life expectancy , quality of life (healthcare) , surgery , multidisciplinary approach , overall survival , carcinoma , population , social science , nursing , environmental health , sociology
Aim . To improve the treatment outcomes, quality and life expectancy, prognosis in patients with hepatocellular carcinoma based on an analysis of treatment outcomes. Materials and methods . The analysis of the long-term results of treatment of 114 patients with hepatocellular carcinoma for 2015–2020 was carried out. Two groups of patients were distinguished: 41 (35.9%) patients were included in group I (a potentially resectable tumor with R0 surgery), and 63 (55.2%) patients were included in group II (advanced tumor does not suggest R0 resection). Results . Actuarial survival for patients with R0 surgery (48) was: 1 year – 85%, 3 years – 65%, 5 years – 55%; in patients with unresectable tumor after transarterial chemoembolization: 1 year – 65%, 3 years – 29%, 5 years – 11%; after local destruction methods – 0.5 years – 75%, 1 year – 36%, 1.5 years – 22%. Conclusions . The results of treatment of patients with hepatocellular carcinoma confirm the feasibility and effectiveness of a rational multidisciplinary approach. It allows you to achieve satisfactory results in multidisciplinary hospitals. The results are consistent with the data of large surgical centers.