Surgical management in hepatocellular carcinoma with portal vein tumour thrombosis: is this the end of the road or a chance to expand the criteria for resectability?

Nikolaos Benatatos; Iliana Papadopoulou; Stelios Assimakopoulos; Francesk Mulita; Evangelos Iliopoulos; Stylianos Germanos; Michail Vailas; Christina Kalogeropoulou; Panagiotis Kitrou; Ioannis Maroulis

doi:10.5114/pg.2022.118138

eISSN: 1897-4317
ISSN: 1895-5770

Gastroenterology Review/Przegląd Gastroenterologiczny

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4/2022
vol. 17

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abstract:

Review paper

Surgical management in hepatocellular carcinoma with portal vein tumour thrombosis: is this the end of the road or a chance to expand the criteria for resectability?

Nikolaos Benatatos

¹

,

Iliana Papadopoulou

¹

,

Stelios F. Assimakopoulos

²

,

Francesk Mulita

¹

,

Evangelos Iliopoulos

¹

,

Stylianos Germanos

¹

,

Michail Vailas

¹

,

Christina Kalogeropoulou

³

,

Panagiotis Kitrou

⁴

,

Ioannis Maroulis

¹

Department of Surgery, University Hospital of Patras, Patras, Greece

Department of Internal Medicine and Infectious Diseases, University Hospital of Patras, Patras, Greece

Department of Radiology, University Hospital of Patras, Patras, Greece

Department of Interventional Radiology, University Hospital of Patras, Patras, Greece

Gastroenterology Rev 2022; 17 (4): 257–265

DOI: https://doi.org/10.5114/pg.2022.118138

Online publish date: 2022/07/15

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AMA

Benatatos N, Papadopoulou I, Assimakopoulos SF, et al. Surgical management in hepatocellular carcinoma with portal vein tumour thrombosis: is this the end of the road or a chance to expand the criteria for resectability?. Gastroenterology Review/Przegląd Gastroenterologiczny. 2022;17(4):257-265. doi:10.5114/pg.2022.118138.

APA

Benatatos, N., Papadopoulou, I., Assimakopoulos, S. F., Mulita, F., Iliopoulos, E.,  & Germanos, S. et al. (2022). Surgical management in hepatocellular carcinoma with portal vein tumour thrombosis: is this the end of the road or a chance to expand the criteria for resectability?. Gastroenterology Review/Przegląd Gastroenterologiczny, 17(4), 257-265. https://doi.org/10.5114/pg.2022.118138

Chicago

Benatatos, Nikolaos, Iliana Papadopoulou, Stelios F Assimakopoulos, Francesk Mulita, Evangelos Iliopoulos, Stylianos Germanos,  and Michail Vailas et al. 2022. "Surgical management in hepatocellular carcinoma with portal vein tumour thrombosis: is this the end of the road or a chance to expand the criteria for resectability?". Gastroenterology Review/Przegląd Gastroenterologiczny 17 (4): 257-265. doi:10.5114/pg.2022.118138.

Harvard

Benatatos, N., Papadopoulou, I., Assimakopoulos, S., Mulita, F., Iliopoulos, E., Germanos, S., Vailas, M., Kalogeropoulou, C., Kitrou, P.,  and Maroulis, I. (2022). Surgical management in hepatocellular carcinoma with portal vein tumour thrombosis: is this the end of the road or a chance to expand the criteria for resectability?. Gastroenterology Review/Przegląd Gastroenterologiczny, 17(4), pp.257-265. https://doi.org/10.5114/pg.2022.118138

MLA

Benatatos, Nikolaos et al. "Surgical management in hepatocellular carcinoma with portal vein tumour thrombosis: is this the end of the road or a chance to expand the criteria for resectability?." Gastroenterology Review/Przegląd Gastroenterologiczny, vol. 17, no. 4, 2022, pp. 257-265. doi:10.5114/pg.2022.118138.

Vancouver

Benatatos N, Papadopoulou I, Assimakopoulos S, Mulita F, Iliopoulos E, Germanos S et al. Surgical management in hepatocellular carcinoma with portal vein tumour thrombosis: is this the end of the road or a chance to expand the criteria for resectability?. Gastroenterology Review/Przegląd Gastroenterologiczny. 2022;17(4):257-265. doi:10.5114/pg.2022.118138.

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Portal vein thrombosis is a common complication associated with malignancies such as hepatocellular carcinoma, with a dismal and negative impact on prognosis. A thorough literature search in Pubmed and Google Scholar, under the terms ‘hepatocellular carcinoma AND portal vein thrombosis’, regarding the surgical management of portal vein thrombosis was conducted by the authors, and the associated results are presented in this narrative review. Precise classification of portal vein thrombosis and identification of subgroups of patients that will benefit from surgery is of paramount importance. Evolution of novel surgical techniques in liver resection and associated low morbidity and mortality rates in specialized hepatobiliary centres worldwide have been linked with promising results from the adoption of surgical management in these patients, when compared to systemic chemotherapy or arterial chemoembolization management that has traditionally been followed in such cases.

keywords:

Surgical management in hepatocellular carcinoma with portal vein tumour thrombosis: is this the end of the road or a chance to expand the criteria for resectability?

Nikolaos Benatatos 1 , Iliana Papadopoulou 1 , Stelios F. Assimakopoulos 2 , Francesk Mulita 1 , Evangelos Iliopoulos 1 , Stylianos Germanos 1 , Michail Vailas 1 , Christina Kalogeropoulou 3 , Panagiotis Kitrou 4 , Ioannis Maroulis 1

portal vein, hepatocellular carcinoma, surgical management, tumour thrombus

Nikolaos Benatatos

¹

,

Iliana Papadopoulou

¹

,

Stelios F. Assimakopoulos

²

,

Francesk Mulita

¹

,

Evangelos Iliopoulos

¹

,

Stylianos Germanos

¹

,

Michail Vailas

¹

,

Christina Kalogeropoulou

³

,

Panagiotis Kitrou

⁴

,

Ioannis Maroulis

¹