Serdar Karakas1 , Sezai Yilmaz1 , Volkan Ince1 , Sami Akbulut1 , Yasin Dalda1 , Ayse Nur Akatli2 , Aysegul Sagir Kahraman3 , Ramazan Kutlu4 , Brian Irving Carr1 2Department of Pathology, Inonu University School of Medicine, Malatya, Turkiye
3Department of Radiology, Inonu University School of Medicine, Malatya, Turkiye
4Department of Interventional Radiology, Inonu University School of Medicine, Malatya, Turkiye
Abstract
Background and Aim: Liver resection (LR) and liver transplantation (LT) are curative treatments for hepatocellular carcinoma (HCC). The main pur-pose of this study was to compare the survival of LR and LDLT in patients with HCC within the Milan criteria.
Material and Methods: The results of the LR (n=67) and LDLT (n=391) groups were compared for overall survival (OS) and disease-free survival (DFS). Twenty-six of the HCCs in the LRs met the Milan and Child A cri-teria. Also, 200 of the HCC patients in the LDLTs met the Milan criteria, of which 70 also met the Child A criteria.
Results: Early mortality was higher in the LDLT group (13.9% vs 1.47%; p=0.003). The 5-year OS was higher in the LDLTs than the LRs, but not statistically significant (84.6% vs 74.2%; p=0.287). However, 5-year DFS was better in the LDLT group (96.8% vs 64.3%; p<0.001). When the LRs (n=26) and the LDLTs (n=70) that met both Milan and Child A criteria were compared, 5-year OS was similar (81.4% vs 74.2%; p=0.512), but DFS was better in the LDLTs (98.6% vs 64.3%; p<0.001).
Conclusion: LR can be justified as the first-line treatment for HCC patients who meet Milan and Child A criteria in terms of early mortality and OS.
