Survival after surgery for hepatocellular carcinoma in relation to presence or absence of viral infection

Am J Surg. 2013 Aug;206(2):187-93. doi: 10.1016/j.amjsurg.2012.08.011. Epub 2013 Mar 30.

Abstract

Background: The aim of this study was to compare postoperative survival between hepatocellular carcinoma (HCC) patients with and without viral infection.

Methods: From among 398 HCC patients in our collected database, 377 who underwent surgery were enrolled. The patients were divided into 2 groups: group 1, those who had no hepatitis B virus or hepatitis C virus infection, and group 2, those who had hepatitis B virus or hepatitis C virus infection. Univariate analysis was performed to compare clinical factors, including viral infection, with overall survival. Kaplan-Meier analysis and the log-rank test were used to evaluate the overall and disease-free survival curves for the 2 groups.

Results: Univariate analysis showed that viral infection showed no such association. Moreover, Kaplan-Meier analysis and the log-rank test revealed no significant intergroup differences in either overall or disease-free survival.

Conclusions: The presence or absence of viral infection shows no significant association with the postoperative survival of patients undergoing surgery for HCC.

Keywords: Hepatitis B virus; Hepatitis C virus; Hepatocellular carcinoma; Postoperative survival; Viral infection.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Carcinoma, Hepatocellular / mortality*
  • Carcinoma, Hepatocellular / surgery*
  • Carcinoma, Hepatocellular / virology
  • Databases, Factual
  • Disease-Free Survival
  • Fatty Liver / complications
  • Female
  • Hepatitis B / complications*
  • Hepatitis C / complications*
  • Humans
  • Kaplan-Meier Estimate
  • Liver Neoplasms / mortality*
  • Liver Neoplasms / surgery*
  • Male
  • Middle Aged
  • Non-alcoholic Fatty Liver Disease
  • Predictive Value of Tests
  • Prognosis
  • Retrospective Studies
  • Treatment Outcome