Factors influencing postoperative hospital mortality and long-term survival after radical resection for stage IV XXXX .

@entity1 @entity204 @entity3 @entity1086
Factors influencing postoperative hospital mortality and long-term survival after radical resection of stage IV @entity1086 remain unclear. The objective of this study was to identify characteristics of @entity1 who are good candidates in terms of surgical risk and long-term survival for radical resection of stage IV @entity1086 . A retrospective study was made of attempted surgical cure in 72 @entity1 with stage IV @entity1086 . There were 14 postoperative hospital deaths (19%). Eleven (19%) of the 58 @entity1 discharged from hospital survived for more than 3 years. Multivariate analysis indicated male gender, extended right hepatic lobectomy in a cholestatic liver, and portal vein resection as independent risk factors that correlated with @entity204 . Distant @entity3 was the sole independent factor that related negatively with long-term survival by multivariate analysis. Subset analysis was performed with combinations of the four independent factors obtained by multivariate analyses. The hospital mortality rate and the 3-year survival rate in the 44 @entity1 without portal vein involvement were 9% and 28%, respectively, and were 3% and 27%, for the 31 @entity1 in this group. The highest 3-year survival rate (39%) was observed in the 26 @entity1 without distant @entity3 and portal vein involvement, despite a hospital mortality rate of 12%. Better @entity1 selection may improve the outcome of radical surgery for stage IV @entity1086 . These data may be useful in designing future trials of the surgical treatment of advanced @entity1086 .
