Carcinoma, Hepatocellular Clinical Trial
Official title:
Makuuchi Versus Barcelona Clinic of Liver Cancer Criteria in Cirrhotic Patients With Hepatocellular Carcinoma. Does Etiology of Cirrhosis Influence the Relationship Between the Portal Pressure and Quantitative Tests of Liver Function?
The aim of the investigators' study is to elucidate the relationship between a functional
liver test (e.g., ICG) and the PREOPERATIVE value of portal hypertension in the patients with
impaired liver function from alcoholic and non-alcoholic aetiologies. Alcoholic and viral
cirrhosis present important differences in terms of cellular mechanisms responsible for the
disease progression with a distinct and unique gene expression pattern that regulates the
type of inflammatory response. These differences probably influence the hepatic functional
reserve and the onset of portal hypertension at a comparable clinical and biological level of
derangement and the investigators may expect significant differences in the recovery from
hepatectomy.
The investigators' hypothesis is that at a comparable ICGR-15 rate non-viral cirrhotic liver
presents higher portal pressure values and the investigators also argue that alcoholic
cirrhotic patients would tolerate a larger hepatic resection than would viral cirrhotic do.
n/a
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