Publications by authors named "Chong-de Lu"

Background: This study aimed to compare the survival outcomes of patients with initially unresectable hepatocellular carcinoma (HCC) and portal vein tumor thrombus (PVTT) who underwent or did not undergo salvage surgery followed by a triple combination conversion treatment consisted of locoregional treatment (LRT), tyrosine kinase inhibitors (TKIs), and anti-PD-1 antibodies.

Methods: The data from 93 consecutive patients with initially unresectable HCC and PVTT across 4 medical centers were retrospectively reviewed. They were converted successfully by the triple combination treatment and underwent or did not undergo salvage resection.

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Article Synopsis
  • Hepatocellular carcinoma (HCC) with microvascular invasion (MVI) has a high recurrence risk after liver surgery, prompting the exploration of adjuvant immunotherapy like sintilimab.
  • A phase 2 trial involving 198 patients assessed the effectiveness and safety of sintilimab, comparing it to an active surveillance group, with a focus on recurrence-free survival (RFS) and overall survival (OS).
  • Results showed significant improvements in RFS for the sintilimab group (27.7 months) versus active surveillance (15.5 months), with manageable side effects, suggesting promise for immune checkpoint inhibitors in high-risk HCC patients.
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  • The study aimed to compare the survival outcomes between patients with HBV-related hepatocellular carcinoma (HCC) and portal vein tumor thrombus (PVTT) who received postoperative aspirin and those who had surgery alone.
  • It involved 80 patients divided into two groups: one receiving adjuvant aspirin after surgery and the other having only the surgical procedure.
  • Results showed that while overall survival rates were similar, the group taking aspirin had a significantly longer time before recurrence of PVTT, suggesting that aspirin may provide additional benefits post-surgery.
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  • A new staging system for hepatocellular carcinoma (HCC) with portal vein tumor thrombus (PVTT) was created by improving upon existing classifications, incorporating factors like liver function and tumor resectability.
  • The research involved a training cohort of 2,179 patients and a validation cohort of 1,550 patients from major liver centers in China, demonstrating the system's effectiveness in predicting overall survival based on identified clinical factors.
  • The new staging system showed strong ability to classify patients into distinct stages, significantly impacting median overall survival rates, thus serving as a valuable supplement to current HCC staging systems.
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Hepatocellular carcinoma (HCC) remains an intractable disease despite numerous advancements made in the available treatments over recent decades. Therefore, investigation of the underlying pathogenesis of HCC is urgently required. Our previous microarray result showed that SCIN was generally downregulated in 23 paired tumor/normal tissues.

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Background: The aim of this study was to evaluate the effect of portal vein tumor thrombus (PVTT) on the prognosis of patients undergoing liver resection (LR) for primary liver malignancies (PLC).

Methods: The recurrence-free survival (RFS) and overall survival (OS) for patients undergoing LR with and without PVTT for three primary liver malignancies, including hepatocellular carcinoma (HCC), intrahepatic cholangiocarcinoma (ICC) and hepato-cholangio carcinoma (CHC) were compared using the Kaplan-Meier method and Cox regression analysis.

Results: In total, 3775 patients with PLC who underwent LR were included in this study.

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Background And Aim: Portal vein tumor thrombus (PVTT) is not commonly used in the treatment of intrahepatic cholangiocarcinoma (ICC), and its impact on the prognosis of ICC is unclear. We aimed to assess the outcomes of ICC with or without PVTT after hepatic resection.

Methods: From January 2000 to December 2005, the data from all consecutive patients with ICC who underwent hepatic resection at our hospital were retrospectively analyzed.

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A study of 7,388 consecutive patients after hepatic resection between 2011 and 2012 identified hepatolithiasis, cirrhosis, and intraoperative blood transfusion as the only independent risk factors of both incisional and organ/space surgical site infection (SSI). Patients with these conditions should be cared for with caution to lower SSI rates.

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Background: The reported treatment outcomes of combined hepatocellular-cholangiocarcinoma (HCC-CC) are inconsistent and the clinicopathological factors influencing treatment outcome remain to be defined.

Patients And Methods: Patients with hepatitis B virus (HBV)-related HCC-CC undergoing surgical treatment at our institution between January 1997 and September 2010 were retrospectively analyzed. Univariate and multivariate analyses were carried out to identify independent clinicopathological factors affecting surgical outcome.

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Objective: The aim of this study was to investigate the prognostic value of tumor size alone on long-term survival and recurrence after curative resection for solitary hepatocellular carcinoma (HCC) without macroscopic vascular invasion.

Methods: A single-center cohort of 615 patients with solitary HCC (a single tumor, without macroscopic vascular invasion or distant metastasis) undergoing curative hepatic resection from 2002 to 2010 was retrospectively studied. Using 2.

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Objective: While hepatic resection or local ablative therapy may provide a potentially curative treatment for hepatocellular carcinoma (HCC), more than half of these patients develop recurrent HCC within 5 years after treatment. Thus identification of any therapy which can decrease or delay the incidence of recurrence will improve the results of treatment. However, no chemopreventive agent has been approved for HCC.

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