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Liver Resection Versus Transplantation for Hepatocellular Carcinoma in Cirrhotic Patients

Annals of Surgery · 1993 · Vol. 218(2) · pp. 145–151

Henri Bismuth✉(Hôpital Paul-Brousse)L. Chiche(Hôpital Paul-Brousse)René Adam(Hôpital Paul-Brousse)Denis Castaing(Hôpital Paul-Brousse)Tom Diamond(Hôpital Paul-Brousse)Ashley R. Dennison(Hôpital Paul-Brousse)

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Abstract

The best indication for transplantation seems to be patients with small and uninodular or binodular tumors; until now, these patients were considered to be the best candidates for resection. Patients undergoing transplantation for unresectable, large, multinodular or diffuse tumors seem to represent bad indications for transplantation. These results could help define reasonable indications for transplantation in an era with a shortage of liver grafts.

Hepatocellular Carcinoma Treatment and Prognosis Liver Disease and Transplantation Viral-associated cancers and disordersMedicineHepatocellular carcinomaTransplantationLiver transplantationSurgeryResectionEconomic shortageCarcinomaSurvival rateMilan criteria

MeSH terms

Evaluation Studies as TopicHepatectomyCarcinoma, HepatocellularHumansLiver CirrhosisLiver NeoplasmsNeoplasm Recurrence, LocalRetrospective StudiesSurvival RateLiver Transplantation

Citations

870

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9.23

field-weighted impact

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98%

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Cited by

EASL–EORTC Clinical Practice Guidelines: Management of hepatocellular carcinoma