Table 6.
Predictors of 90-day postoperative mortality after major hepatectomy for HCC (n=539)
Variable | % of patients | 90-Day mortality rate (%) | Univariate analysis | Multivariate analysisa |
|||
---|---|---|---|---|---|---|---|
p | p | HR | 95 % CI | ||||
Gender | Male | 77 | 4 | 0.351 | |||
Female | 23 | 3 | |||||
Age (years) | >60 | 37 | 4 | 0.702 | |||
≤60 | 63 | 4 | |||||
AFP (ng/mL) | >1,000 | 36 | 6 | 0.045 | NS | ||
≤1,000 | 64 | 3 | |||||
Child–Pugh class | A | 98 | 4 | 0.422 | |||
B | 2 | 8 | |||||
Tumor size (cm) | >5 | 80 | 4 | 0.527 | |||
≤5 | 20 | 3 | |||||
Bilateral lesions | Present | 22 | 3 | 0.379 | |||
Absent | 78 | 4 | |||||
Number of lesions | Multiple | 35 | 4 | 0.795 | |||
Solitary | 65 | 4 | |||||
Major vascular invasion | Present | 12 | 10 | 0.013 | 0.019 | 3.42 | 1.23–9.53 |
Absent | 88 | 3 | |||||
Microvascular invasion | Present | 60 | 5 | 0.284 | |||
Absent | 40 | 3 | |||||
Fibrosis/cirrhosis | Present | 35 | 6 | 0.087 | |||
Absent | 65 | 3 | |||||
Nodal metastases | Present | 1 | 0 | 0.592 | |||
Absent | 99 | 4 | |||||
Extrahepatic metastases | Present | 1 | 14 | 0.153 | |||
Absent | 99 | 4 | |||||
Other organ invasion | Present | 9 | 9 | 0.079 | |||
Absent | 91 | 3 | |||||
Surgical margins | Positive | 12 | 4 | 0.726 | |||
Negative | 88 | 5 | |||||
Edmondson–Steiner grade | 1 | 13 | 0 | 0.054 | |||
2 | 38 | 3 | |||||
3 | 42 | 5 | |||||
4 | 7 | 11 | |||||
Extent of hepatectomy | Extended | 38 | 4 | 0.976 | |||
Right | 62 | 4 | |||||
TNM stage (7th edition) | I | 29 | 2 | 0.385 | |||
II | 31 | 4 | |||||
III | 38 | 5 | |||||
IV | 2 | 7 | |||||
Time period | 1981–1989 | 15 | 12 | <0.0001 | 0.038 | 2.27 | 1.05–4.93 |
1990–1999 | 63 | 2 | |||||
2000–2008 | 22 | 4 |
CI indicates confidence interval, HR hazard ratio, NS not significant, AFP α-fetoprotein
Logistic regression multivariate analysis included all variables with p<0.05 in the univariate analysis