Surgical Resection for XXXX with Concomitant Esophageal Varices.

@entity1 @entity157 @entity2312 @entity3194
BACKGROUND: The management of @entity157 ( @entity157 ) in @entity1 with concomitant @entity2312 ( @entity2312 ) remains controversial. We assessed the surgical outcome of hepatectomy and aimed to clarify the indications and management of @entity157 in @entity1 with concomitant @entity2312 . METHODS: We retrospectively enrolled 502 @entity1 with @entity157 (100 with and 402 without @entity2312 ), who underwent curative hepatectomy. We analyzed the prognostic outcomes and risk factors for @entity2312 after hepatectomy. RESULTS: Overall survival (OS) was significantly lower in @entity157 @entity1 with @entity2312 than in those without @entity2312 (p  =  0.003), although recurrence-free survival was similar in both groups. Multivariate analysis showed that @entity3194 retention test at 15  min (ICGR15) >17  % (p  =  0.007) and a-fetoprotein >12.5  ng/ml (p  =  0.003) was independent predictors of poorer OS. Among @entity1 with @entity2312 who underwent hepatectomy, multivariate analysis identified ICGR15 >17  % (p  =  0.03) as the only independent predictor of poorer OS. There was no significant difference in OS between @entity157 @entity1 with @entity2312 and ICGR15  <=17.0  % and @entity157 @entity1 without @entity2312 . Ten @entity1 experienced @entity2312 after hepatectomy. Multivariate analysis showed that preoperative endoscopic findings of blue color @entity2312 (p  =  0.008) and red color sign (p  =  0.0005) were independent predictors of @entity2312 in @entity1 with @entity157 after hepatectomy. CONCLUSIONS: These results suggest that @entity157 @entity1 with @entity2312 and ICGR15  <=17  % may be suitable for surgery, but @entity1 with preoperative endoscopic blue color @entity2312 and red color sign need to be managed appropriately.
