According to the BCLC guidelines, surgical resection of hepatocellular carcinoma complicating cirrhosis is restricted to patients with preserved liver function, single nodule without vascular invasion and with hepatic venous gradient below 10 mmHg. However, other guideline treatment, especially from eastern countries demonstrated that surgical resection is safe and feasible and provides better survival than the treatment recommended by the BCLC system for patients with similar stage. The primary goal of this study is to assess the impact of HVPG on short and long-term outcomes in HCC patients who undergo liver resection.
Patients with HCC and candidates for hepatectomy are classified into two groups according to the presence of portal hypertension. Short- and long-term outcomes will be compared.
Study Type
OBSERVATIONAL
Enrollment
200
Hepatectomy by either open, laparoscopic or robotic procedures
Henri Mondor University Hospital
Créteil, France
Mortality
In-hospital or 90-day mortality
Time frame: 90 day
morbidity
Overall and liver-related complications including liver failure, ascites, biliary fistula, bleeding, pulmonary complications, and renal complications. Grading system according to Clavien-Dindo classification
Time frame: 90 day
Survival outcomes
Including Overall survival and disease free survival
Time frame: 1,3 and 5 years
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