Surgical treatment of hepatocellular carcinoma with large vascular invasion: controversy and consensus
CHEN Ya-jin
CAO Jun
Abstract：Surgical intervention for hepatocellular carcinoma associated with macroscopic vascular invasion is regarded as a challenging work with high rate of complications and death,and the oncological benefit is not entirely clear.There are differences between domestic and overseas staging system and treatment guidelines.Although increasing studies have shown the surgical intervention and adjunct multi modality treatment are feasible and the results are reproducible,some controversies remain.More and more scholars support surgical resection for patients with liver function Child-Pugh class A,liver tumor resectable,and well typed PVTF,HVTT or IVCTT,and get reproducible benefits.However,most scholars remain cautious about the surgical resection of the PVTT with major portal vein invasion and IVCTF with the atrium invasion.Large-sample and high-quality RCTs are needed to confirm the reliability of these studies,and ultimately promote the update of guidelines.
Keywords：hepatocellular carcinomavascular invasion
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 133-136 )