Surgical management in hepatocellular carcinoma with portal vein tumour thrombosis: is this the end of the road or a chance to expand the criteria for resectability?

hepatocellular carcinoma portal vein surgical management tumour thrombus

Journal

Przeglad gastroenterologiczny
ISSN: 1895-5770
Titre abrégé: Prz Gastroenterol
Pays: Poland
ID NLM: 101280380

Informations de publication

Date de publication:
2022
Historique:
received: 11 04 2022
accepted: 19 05 2022
entrez: 14 12 2022
pubmed: 15 12 2022
medline: 15 12 2022
Statut: ppublish

Résumé

Portal vein thrombosis is a common complication associated with malignancies such as hepatocellular carcinoma, with a dismal and negative impact on prognosis. A thorough literature search in Pubmed and Google Scholar, under the terms 'hepatocellular carcinoma AND portal vein thrombosis', regarding the surgical management of portal vein thrombosis was conducted by the authors, and the associated results are presented in this narrative review. Precise classification of portal vein thrombosis and identification of subgroups of patients that will benefit from surgery is of paramount importance. Evolution of novel surgical techniques in liver resection and associated low morbidity and mortality rates in specialized hepatobiliary centres worldwide have been linked with promising results from the adoption of surgical management in these patients, when compared to systemic chemotherapy or arterial chemoembolization management that has traditionally been followed in such cases.

Identifiants

pubmed: 36514454
doi: 10.5114/pg.2022.118138
pii: 47492
pmc: PMC9743323
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

257-265

Informations de copyright

Copyright © 2022 Termedia.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Nikolaos Benatatos (N)

Department of Surgery, University Hospital of Patras, Patras, Greece.

Iliana Papadopoulou (I)

Department of Surgery, University Hospital of Patras, Patras, Greece.

Stelios F Assimakopoulos (SF)

Department of Internal Medicine and Infectious Diseases, University Hospital of Patras, Patras, Greece.

Francesk Mulita (F)

Department of Surgery, University Hospital of Patras, Patras, Greece.

Evangelos Iliopoulos (E)

Department of Surgery, University Hospital of Patras, Patras, Greece.

Stylianos Germanos (S)

Department of Surgery, University Hospital of Patras, Patras, Greece.

Michail Vailas (M)

Department of Surgery, University Hospital of Patras, Patras, Greece.

Christina Kalogeropoulou (C)

Department of Radiology, University Hospital of Patras, Patras, Greece.

Panagiotis Kitrou (P)

Department of Interventional Radiology, University Hospital of Patras, Patras, Greece.

Ioannis Maroulis (I)

Department of Surgery, University Hospital of Patras, Patras, Greece.

Classifications MeSH