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Niessen, C. ; Thumann, S. ; Beyer, L. ; Pregler, B. ; Kramer, J. ; Lang, S. ; Teufel, A. ; Jung, E. M. ; Stroszczynski, C. ; Wiggermann, P.

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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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftScientific Reports
Verlag:Nature
Ort der Veröffentlichung:LONDON
Band:7
Nummer des Zeitschriftenheftes oder des Kapitels:43687
Seitenbereich:S. 1-9
Datum7 März 2017
InstitutionenMedizin > Lehrstuhl für Röntgendiagnostik
Identifikationsnummer
WertTyp
10.1038/srep43687DOI
Stichwörter / KeywordsCOLORECTAL LIVER METASTASES; HEPATOCELLULAR-CARCINOMA; RADIOFREQUENCY ABLATION; SYSTEMIC CHEMOTHERAPY; 1ST-LINE TREATMENT; CIRRHOTIC-PATIENTS; B VIRUS; RESECTION; CANCER; TRANSPLANTATION;
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-365281
Dokumenten-ID36528

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