Table 6.
Univariate and multivariate analysis of overall survival in patients with multiple hepatocellular carcinomas
Variables | Univariate | Multivariate | ||||||
---|---|---|---|---|---|---|---|---|
Hazard ratio | 95% CI | p | Hazard ratio | 95% CI | p | |||
Age ≥70 years | 0.493 | 0.117 | 2.076 | 0.335 | ||||
Sex, male | 0.838 | 0.341 | 2.060 | 0.700 | ||||
Cirrhosis, (P)* | 1.191 | 0.484 | 2.926 | 0.704 | ||||
Serum albumin <4 g/dl | 0.712 | 0.289 | 1.752 | 0.459 | ||||
Serum total bilirubin ≥1 mg/dl | 0.700 | 0.243 | 2.015 | 0.509 | ||||
ICGR15† ≥15% | 2.095 | 0.993 | 4.42 | 0.052 | ||||
Prothrombin activity ≥85% | 0.532 | 0.253 | 1.116 | 0.095 | ||||
Platelet count ≥15×104/mm3 | 1.052 | 0.507 | 2.184 | 0.891 | ||||
Preoperative AFP ≥400 | 1.236 | 0.471 | 3.242 | 0.667 | ||||
Number of tumors ≥3 (P)* | 1.199 | 0.488 | 2.948 | 0.692 | ||||
Satellite nodule | 2.091 | 0.727 | 6.018 | 0.171 | ||||
Tumor distribution, bilateral lobe | 0.771 | 0.233 | 2.549 | 0.670 | ||||
Size of the largest tumor ≥3 cm (P)* | 2.278 | 1.009 | 5.145 | 0.048 | ||||
Total tumor diameter ≥6 cm (±SD) (P)* | 2.431 | 1.168 | 5.058 | 0.017 | 2.476 | 1.172 | 5.231 | 0.018 |
Lymphovascular invasion (P)* | 1.411 | 0.602 | 3.309 | 0.428 | ||||
Non anatomical resection | 1.216 | 0.519 | 2.851 | 0.653 |
*Identified after postoperative pathological examination; †Indocyanine green retention rate at 15 min
CI, confidence interval; AFP, alpha-fetoprotein