title: [Hepatic resections for hepatocarcinoma in the XXI century].
abstract: Hepatic resection is today the treatment of choice for cirrhotic patients affected by hepatocellular carcinoma (HCC). Short term results are now definitely satisfactory, with a mortality rate in the referral centers lower than 5%. However, long term results are affected by a high recurrence rate, between 50% and 100%, due to the underlying cirrhosis. Notwithstanding the high recurrence rate, the hepatic resection guarantees a five years survival between 40% and 60%, comparable to the one offered by liver transplantation. The aim of this paper is to review the results of studies on resected cirrhotic patients affected by HCC.
authors.affiliation: UOC Chirurgia Epatobiliopancreatica, Ospedale S. Andrea, Facoltà di Medicina e Chirurgia, Università degli Studi di Roma La Sapienza II, Roma, Italy. giovanni.ramacciato@uniroma1.it
authors.forename: G
authors.initials: G
authors.lastname: Ramacciato
authors.forename: P
authors.initials: P
authors.lastname: Mercantini
authors.forename: G
authors.initials: G
authors.lastname: Nigri
authors.forename: V
authors.initials: V
authors.lastname: Giaccaglia
authors.forename: M
authors.initials: M
authors.lastname: Dente
authors.forename: M
authors.initials: M
authors.lastname: Del Gaudio
authors.forename: A
authors.initials: A
authors.lastname: Lauro
authors.forename: G
authors.initials: G
authors.lastname: Ercolani
authors.forename: A D
authors.initials: AD
authors.lastname: Pinna
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000401:mortality / Q000601:surgery*; D018572:Disease-Free Survival; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008103:Liver Cirrhosis / Q000150:complications; D008111:Liver Function Tests; D008113:Liver Neoplasms / Q000401:mortality / Q000601:surgery*; D009364:Neoplasm Recurrence, Local; D018579:Patient Selection; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome