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Related Experiment Video

Updated: Jun 2, 2025

The Influence of Liver Resection on Intrahepatic Tumor Growth
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Predictors for 30-day mortality in hepatocellular carcinoma patients undergoing liver resection.

Erik Prabowo1,2,3,4, Neni Susilaningsih5,6, Catharina Suharti7,8

  • 1Doctoral Study Program of Medical and Health Science, Universitas Diponegoro, Semarang, Indonesia.

Narra J
|January 16, 2025
PubMed
Summary
This summary is machine-generated.

Hepatocellular carcinoma (HCC) liver resection outcomes were studied in Indonesia. Preoperative, intraoperative, and postoperative factors like Child-Pugh score and liver failure predict 30-day mortality in HCC patients.

Keywords:
Liver resectionhepatocellular carcinomamorbiditymortalitypredictive

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Area of Science:

  • Hepatology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Hepatocellular carcinoma (HCC) is a leading cause of cancer death worldwide.
  • Liver resection offers curative potential but faces challenges, particularly in advanced-stage cases common in Indonesia.

Purpose of the Study:

  • To identify intraoperative and perioperative factors linked to 30-day mortality in HCC patients undergoing liver resection.
  • To analyze predictors of short-term survival following HCC resection in a tertiary referral center.

Main Methods:

  • Retrospective analysis of 58 HCC patients undergoing liver resection at Karadi General Hospital (January 2018 - September 2023).
  • Data collected included demographics, intraoperative, perioperative, and postoperative variables.
  • Survival analysis utilized log-rank tests and Kaplan-Meier curves to assess 30-day mortality predictors.

Main Results:

  • The 30-day mortality rate was 10.3%.
  • Significant predictors of mortality included Child-Pugh classification (p<0.001), intraoperative bleeding (p=0.001), creatinine levels (p=0.005), Clavien-Dindo classification (p<0.001), and posthepatectomy liver failure (PHLF) (p<0.001).
  • The failure-to-rescue (FTR) rate was 46%.

Conclusions:

  • Preoperative (Child-Pugh classification), intraoperative (blood loss), and postoperative factors (creatinine, Clavien-Dindo grade, PHLF) are crucial in predicting 30-day mortality after HCC resection.
  • These findings can aid in risk stratification and management of HCC patients undergoing liver surgery.