Hepatocellular carcinoma surgical and oncological trends in a national multicentric population: the HERCOLES experience

Francesco Ardito, Felice Giuliante, Fabrizio Cipriani, Pierluigi Perri, Anna Maria Antonucci, Giuseppe Zimmitti, Marta Maestri, Guido Torzilli, Federica Romano, Giovanni Lazzari, Arianna Del Vecchio, S. Famularo, M. Donadon, F. Carissimi, M. Iaria, T. Dominioni, M. Zanello, S. Conci, S. Molfino, G. LaBarbaC. Ferrari, P. Germani, S. Patauner, E. Pinotti, E. Lodo, M. Garatti, I. Sciannamea, A. Troci, M. Conticchio, A. Floridi, M. Chiarelli, L. Fumagalli, R. Memeo, M. Crespi, G. Zanus, M. Zago, A. Frena, P. Tarchi, G. Griseri, G. Ercolani, G. L. Baiocchi, A. Ruzzenente, E. Jovine, R. DallaValle, G. L. Grazi, L. Aldrighetti, D. P. Bernasconi, C. Ciulli, A. Giani, G. Costa, F. Ratti, M. Bellobono, F. Calabrese, E. Cremaschi, Peppo V. De, A. Cucchetti, A. Percivale, M. Ciola, V. Sega, S. Frassani, L. Pennacchi, P. Corleone, D. Cosola, L. Salvador, M. Montuori

Risultato della ricerca: Contributo in rivistaArticolo in rivista

1 Citazioni (Scopus)

Abstract

Liver surgery is the first line treatment for hepatocarcinoma. Hepatocarcinoma Recurrence on the Liver Study (HERCOLES) Group was established in 2018 with the goal to create a network of Italian centres sharing data and promoting scientific research on hepatocellular carcinoma (HCC) in the surgical field. This is the first national report that analyses the trends in surgical and oncological outcomes. Register data were collected by 22 Italian centres between 2008 and 2018. One hundred sixty-four variables were collected, regarding liver functional status, tumour burden, radiological, intraoperative and perioperative data, histological features and oncological follow-up. 2381 Patients were enrolled. Median age was 70 (IQR 63–75) years old. Cirrhosis was present in 1491 patients (62.6%), and Child-A were 89.9% of cases. HCC was staged as BCLC0-A in almost 50% of cases, while BCLC B and C were 20.7% and 17.9% respectively. Major liver resections were 481 (20.2%), and laparoscopy was employed in 753 (31.6%) cases. Severe complications occurred only in 5%. Postoperative ascites was recorded in 10.5% of patients, while posthepatectomy liver failure was observed in 4.9%. Ninety-day mortality was 2.5%. At 5 years, overall survival was 66.1% and disease-free survival was 40.9%. Recurrence was intrahepatic in 74.6% of cases. Redo-surgery and thermoablation for recurrence were performed up to 32% of cases. This is the most updated Italian report of the national experience in surgical treatment for HCC. This dataset is consistently allowing the participating centres in creating multicentric analysis which are already running with a very large sample size and strong power.
Lingua originaleEnglish
pagine (da-a)399-411
Numero di pagine13
RivistaUpdates in Surgery
Volume72
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • Hepatocarcinoma recurrence
  • Hepatocellular carcinoma
  • Redo surgery
  • Liver surgery
  • HERCOLES

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