Summary
Between January 1990 and January 1996, 39 consecutive patients with histologically improved pT3 or pT4 HCC tumors underwent curative resection (n = 19) or sequential transarterial chemoembolization (n =20) with a median time interval of 7 weeks up to six times with an emulsion of Lipiodol, Epirubicin and Cisplatin. The 30-day mortality rate for all sessions of TA was 3.8% vs. 21.8% in the resection group (p<0.05); the cumulative survival rate for the embolization group at 6, 12, 18 and 24 months was 72.3%, 50.1%, 41.2%, 35.4% vs. 42.1%, 31.6%, 31.6% and 14.2% following resection, which cannot be considered statistically significant. Patients with T3 and T4 HCC, treated with sequential embolization or resection, seem to have a comparable survival time.
Danksagung: Die Autoren danken Dr. rer. nat. Kristmann, Abteilung für Statistik im Rechenzentrum der Hochschule Dortmund, für die Unterstützung bei der statischen Analyse der Daten.
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© 1996 Springer-Verlag Berlin Heidelberg
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Hasse, F., Mehring, UM., Castaneda, F., Jäger, H., Mathias, KD., Löhlein, D. (1996). Vergleich der Leberresektion gegenüber der sequentiellen transarteriellen Chemoembolisation bei Hepatozellulären Karzinom im Stadium pT3 oder pT4. In: Hartel, W. (eds) Wahrung des Bestandes, Wandel und Fortschritt der Chirurgie. Langenbecks Archiv für Chirurgie, vol 1996. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80295-9_48
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DOI: https://doi.org/10.1007/978-3-642-80295-9_48
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