Detailed Abstract
[E-poster - Liver (Liver Disease/Surgery)]
[EP 100] Outcomes of Hepatocellular Carcinoma in Sri Lanka - Experience of a Tertiary Care Referral Unit.
MALITH NANDASENA 1, MINIDU CHANDRAGUPTA 2, HASANGI GAMAGE 2, ALOKA PATHIRANA 1
1 Department of Surgery , Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, SRI LANKA, 2 University Surgical Unit, University Surgical Unit, Colombo South Teaching Hospital, SRI LANKA
Background : Hepatocellular carcinoma (HCC) is the fifth most common cancer globally and the most common primary liver malignancy, comprising over 90% of liver tumors. HCC has variety of surgical and non surgical management options owing to its unfavorable prognosis.
Methods : Details of 320 consecutive patients with HCC from 2018 to 2022 extracted from a prospectively collected database. It was analyzed retrospectively for patient demography , tumour characteristics , treatment modes and their outcomes.
Results : Mean age of HCC is 65.2 years with male predominance (64%). Majority had a Child-Pugh A score. 50% of HCCs had only a solitary lesion. 20.2 % had diffuse type HCC . 31.2% of HCC were surgically resectable. Majority underwent Non Anatomical liver resections (48%)followed by hemihepatectomy (42%). Of the unresectable tumour, 58.7 % were offered locoregional therapy and 39% were offered palliation. 25.3% underwent ablative therapy while 73.5 % underwent arterially directed therapy. Most frequently employed ablative therapy is Thermal Microwave Ablation( 60.4%)
Conclusions : Minority of HCCs are surgically resectable with a curative intent. Locoregional therapy remains as a key management option for majority of HCCs in Sri Lanka.
Methods : Details of 320 consecutive patients with HCC from 2018 to 2022 extracted from a prospectively collected database. It was analyzed retrospectively for patient demography , tumour characteristics , treatment modes and their outcomes.
Results : Mean age of HCC is 65.2 years with male predominance (64%). Majority had a Child-Pugh A score. 50% of HCCs had only a solitary lesion. 20.2 % had diffuse type HCC . 31.2% of HCC were surgically resectable. Majority underwent Non Anatomical liver resections (48%)followed by hemihepatectomy (42%). Of the unresectable tumour, 58.7 % were offered locoregional therapy and 39% were offered palliation. 25.3% underwent ablative therapy while 73.5 % underwent arterially directed therapy. Most frequently employed ablative therapy is Thermal Microwave Ablation( 60.4%)
Conclusions : Minority of HCCs are surgically resectable with a curative intent. Locoregional therapy remains as a key management option for majority of HCCs in Sri Lanka.
SESSION
E-poster
E-Session 03/21 ALL DAY