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Salvage versus Primary Liver Transplantation for Hepatocellular Carcinoma: A Twenty-Year Experience Meta-Analysis.
- Source :
-
Cancers . Jul2022, Vol. 14 Issue 14, pN.PAG-N.PAG. 20p. - Publication Year :
- 2022
-
Abstract
- Simple Summary: Primary liver transplantation (PLT) for HCC represents the ideal treatment. However, since organ shortage increases the risk of drop-out from the waiting list for tumor progression, a new surgical strategy has been developed: Salvage Liver Transplantation (SLT) can be offered as an additional curative strategy for HCC recurrence after liver resection. The aim of this updated meta-analysis is to compare surgical and long-term outcomes of SLT versus PLT for HCC. The findings of our analysis reveal that SLT offers comparable surgical outcomes but slightly poorer oncological long-term outcomes with respect to PLT. (1) Background: Primary liver transplantation (PLT) for HCC represents the ideal treatment. However, since organ shortage increases the risk of drop-out from the waiting list for tumor progression, a new surgical strategy has been developed: Salvage Liver Transplantation (SLT) can be offered as an additional curative strategy for HCC recurrence after liver resection. The aim of this updated meta-analysis is to compare surgical and long-term outcomes of SLT versus PLT for HCC. (2) Materials and Methods: A systematic review and meta-analysis was conducted using the published papers comparing SLT and PLT up to January 2022. (3) Results: 25 studies describing 11,275 patients met the inclusion criteria. The meta-analysis revealed no statistical difference in intraoperative blood loss, overall vascular complications, retransplantation rate, and hospital stay in the SLT group compared with the PLT group. However, the SLT group showed a slightly significant lower 5-year OS rate and 5-year disease-free survival rate. (4) Conclusion: meta-analysis advocates the relative safety and feasibility of both Salvage LT and Primary LT strategies. Specifically, SLT seems to have comparable surgical outcomes but slightly poorer long-term survival than PLT. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SURGICAL blood loss
*LENGTH of stay in hospitals
*MEDICAL databases
*META-analysis
*CONFIDENCE intervals
*SYSTEMATIC reviews
*SURGICAL complications
*TREATMENT effectiveness
*DISEASE relapse
*DESCRIPTIVE statistics
*LIVER transplantation
*SALVAGE therapy
*PROGRESSION-free survival
*DATA analysis software
*STATISTICAL models
*HEPATOCELLULAR carcinoma
*TRANSPLANTATION of organs, tissues, etc.
Subjects
Details
- Language :
- English
- ISSN :
- 20726694
- Volume :
- 14
- Issue :
- 14
- Database :
- Academic Search Index
- Journal :
- Cancers
- Publication Type :
- Academic Journal
- Accession number :
- 158214064
- Full Text :
- https://doi.org/10.3390/cancers14143465