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Percutaneous Irreversible Electroporation: Long-term survival analysis of 71 patients with inoperable malignant hepatic tumors
Niessen, C., Thumann, S., Beyer, L., Pregler, B., Kramer, J., Lang, S., Teufel, A., Jung, E. M., Stroszczynski, C. und Wiggermann, P. (2017) Percutaneous Irreversible Electroporation: Long-term survival analysis of 71 patients with inoperable malignant hepatic tumors. Scientific Reports 7 (43687), S. 1-9.Veröffentlichungsdatum dieses Volltextes: 16 Jan 2018 13:30
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.36528
Zusammenfassung
Aim of this retrospective analysis was to evaluate the survival times after percutaneous irreversible electroporation (IRE) in inoperable liver tumors not amenable to thermal ablation. 71 patients (14 females, 57 males, median age 63.5 +/- 10.8 years) with 103 liver tumors were treated in 83 interventions using IRE (NanoKnife((R)) system). The median tumor short-axis diameter was 1.9 cm (minimum ...
Aim of this retrospective analysis was to evaluate the survival times after percutaneous irreversible electroporation (IRE) in inoperable liver tumors not amenable to thermal ablation. 71 patients (14 females, 57 males, median age 63.5 +/- 10.8 years) with 103 liver tumors were treated in 83 interventions using IRE (NanoKnife((R)) system). The median tumor short-axis diameter was 1.9 cm (minimum 0.4 cm, maximum 4.5 cm). 35 patients had primary liver tumors and 36 patients had liver metastases. The Kaplan-Meier method was employed to calculate the survival rates, and the different groups were compared using multivariate log-rank and Wilcoxon tests. The overall median survival time was 26.3 months; the median survival of patients with primary land secondary liver cancer did not significantly differ (26.8 vs. 19.9 months; p = 0.41). Patients with a tumor diameter > 3 cm (p < 0.001) or more than 2 lesions (p < 0.005) died significantly earlier than patients with smaller or fewer tumors. Patients with hepatocellular carcinoma and Child-Pugh class B or C cirrhosis died significantly earlier than patients with Child-Pugh class A (p < 0.05). Patients with very early stage HCC survived significantly longer than patients with early stage HCC with a median survival of 22.3 vs. 13.7 months (p < 0.05).
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| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | Scientific Reports | ||||
| Verlag: | Nature | ||||
|---|---|---|---|---|---|
| Ort der Veröffentlichung: | LONDON | ||||
| Band: | 7 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 43687 | ||||
| Seitenbereich: | S. 1-9 | ||||
| Datum | 7 März 2017 | ||||
| Institutionen | Medizin > Lehrstuhl für Röntgendiagnostik | ||||
| Identifikationsnummer |
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| Stichwörter / Keywords | COLORECTAL LIVER METASTASES; HEPATOCELLULAR-CARCINOMA; RADIOFREQUENCY ABLATION; SYSTEMIC CHEMOTHERAPY; 1ST-LINE TREATMENT; CIRRHOTIC-PATIENTS; B VIRUS; RESECTION; CANCER; TRANSPLANTATION; | ||||
| Dewey-Dezimal-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Ja | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-365281 | ||||
| Dokumenten-ID | 36528 |
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