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Surgical Resection Versus Laparoscopic Radiofrequency Ablation in Patients With Hepatocellular Carcinoma and Child-Pugh Class A Liver Cirrhosis |
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| Authors: | Roberto Santambrogio MD Enrico Opocher MD Massimo Zuin MD Carlo Selmi MD PhD Emanuela Bertolini MD Mara Costa MD Matteo Conti MD Marco Montorsi MD |
| Affiliation: | 1. USD di Chirurgia Epato-bilio-pancreatica, Ospedale Classificato San Giuseppe, Milanocuore SpA, Milan, Italy 2. UO Chirurgia 2, Azienda Ospedaliera San Paolo, Dipartimento di Medicina, Chirurgia ed Odontoiatria, Università degli Studi di Milano, Milan, Italy 3. Cattedra di Medicina Interna, Azienda Ospedaliera San Paolo, Dipartimento di Medicina, Chirurgia ed Odontoiatria, Università degli Studi di Milano, Milan, Italy 4. Dipartimento di Medicina Interna, IRCCS-Istituto Clinico Humanitas, Università degli Studi di Milano, Rozzano, Milan, Italy 5. Cattedra di Chirurgia Generale, IRCCS-Istituto Clinico Humanitas, Università degli Studi di Milano, Rozzano, Milan, Italy |
| Abstract: | BackgroundThis study compared two homogeneous groups of patients submitted to either surgical resection (HR) or laparoscopic radiofrequency ablation (LRFA) for the treatment of hepatocellular carcinoma (HCC). When compatible with the liver functional reserve, HR remains the treatment of choice for HCC, while LRFA seems to be a promising, less invasive alternative. We thus compared HR or LRFA for short- and long-term outcomes in patients with a single HCC nodule and Child-Pugh class A liver cirrhosis. |
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