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Seizing tumor factors for mortality and survival outcomes following liver resection in Indonesia's hepatocellular carcinoma patients
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논문 기본 정보

Type
Academic journal
Author
Lam Sihardo (Faculty of Medicine Universitas Indonesia) Arnetta Naomi Louise Lalisang (Faculty of Medicine Universitas Indonesia) Ridho Ardhi Syaiful (Faculty of Medicine Universitas Indonesia) Afid Brilliana Putra (Faculty of Medicine Universitas Indonesia) Yarman Mazni (Faculty of Medicine Universitas Indonesia)
Journal
The Korean Association of HBP Surgery Annals of Hepato-Biliary-Pancreatic Surgery Vol.29 No.1 KCI Accredited Journals
Published
2025.2
Pages
11 - 20 (10page)

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Seizing tumor factors for mortality and survival outcomes following liver resection in Indonesia's hepatocellular carcinoma patients
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Backgrounds/Aims: The 3-year mortality rate for hepatocellular carcinoma (HCC) in Indonesia was 94.4%. This underscores a sig- nificant health issue in Southeast Asia, particularly in Indonesia due to its large population. This study aimed to characterize the out- comes of liver resection for HCC at a National Referral Center in Indonesia.
Methods: Between 2010 and 2020, all patients with HCC undergoing liver resection were included as subjects. Variables collected in- cluded sex, age, hepatitis status, and tumor’s characteristics. Mortality and survival were the primary outcomes of the study.
Results: Among seventy patients, the mortality rate was 71.4%, with a median overall survival of 19.0 months (95% confidence inter- val [95%CI]: 6.831.2). Thirty-one patients (44.3%) had extra-large HCC tumors (> 10 cm). Those with extra-large tumors had a lower median survival of 8.0 months. Child-Pugh B and Edmonson-Steiner grade 4 were associated with an increased mortality risk, with unadjusted hazard ratios (HRs) of 2.2 (95%CI: 1.14.3, p = 0.026) and 3.2 (95%CI: 1.37.7, p = 0.011), respectively. Multivariate analysis indicated that Child-Pugh class B significantly increased the risk of mortality, with an adjusted HR of 2.3 (95%CI: 1.05.2, p = 0.046).
Conclusions: While surgical resection is feasible for tumors of any size, most clinical features are not statistically significantly associ- ated with survival outcomes. The prevalence of extra-large tumors among Indonesian HCC patients highlights the importance of early diagnosis and intervention. Surgical intervention at an earlier stage and with better grade tumors could potentially enhance survival outcomes.
#Hepatectomy #Hepatocellular carcinoma #Mortality #Survival #Indonesia

Contents

INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
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