Hepatic resection for hepatocellular carcinoma in end-stage renal disease patients: Two decades of experience at Chang Gung Memorial Hospital

Table 2 Associated disease, morbidity, and postoperative mortality of 26 ESRD–HCC and 1198 HCC patients treated with hepatectomy.

	ESRD–HCC (n = 26)		HCC (n = 1198)
Associated disease	19 (73.1%)	Associated disease	406 (33.9%)
ESRD only	7	Peptic ulcer	121
Hypertension	10	DM	111
DM	8	Hypertension	88
Heart disease	3	DM+hypertension	42
TCC	1	DM+peptic ulcer	20
Peptic ulcer	6	Heart disease	31
		CVA	11
		Biliary tract disease	27
		(GB stone or CBD stone or IHD stone
		Lung disease	27
		Others	71
Morbidity	11 (42.3%)	Cause of mortality	66 (5.3%)
Pleural effusion	4	Hepatic failure	12
Ascites	2	Infection-induced hepatic failure	10
Jaundice	1	Intra-abdominal	23
bleeding Pneumonia	1	Cholangititis	1
Intra-abdominal abscess	1	Bile leakage	1
Wound infection	1	ARDS	2
Fever	1	EV bleeding	2
Cause of mortality	3 (11.5%)	Peptic ulcer bleeding	3
Sepsis	2	Combine EV and peptic ulcer bleeding	1
Pulmonary embolism	1	Renal failure	4
		Pneumonia/	1/1
		pulmonary embolism
		VT/heart failure	1/1
		Ischemic bowel	1/1
		/hollow organ perforation
		DIC	1

TCC: transitional cell carcinoma; DM: diabetes mellitus; CVA: cerebrovascular disease; GB: gallbladder; CBD: common bile duct; IHD: intrahepatic duct; ARDS: adult respiratory distress syndrome; EV: esophageal variceal; VT: ventricular tachycardia; DIC: disseminated intravascular coagulopathy.