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Table 1 Clinicopathological characteristics and surgical short-term outcomes according to background of HCC

From: Clinical characteristics, prognosis, and surgical outcomes of patients with non-HBV and non-HCV related hepatocellular carcinoma: three-decade observational study

Variable

HBV-HCC (n = 149)

HCV-HCC (n = 424)

non-B non-C-HCC (n = 216)

P value

HBV vs. non-B non-C

HCV vs. non-B non-C

Host-related factors

 Age, years

60 (16–83)

69 (39–85)

71 (33–89)

 < 0.001

0.032

 Sex, male/female

114/35

306/118

173/43

0.413

0.027

 BMI, kg/m2

23 (16–35)

22 (16–35)

23 (13–45)

0.354

 < 0.001

 HT

30 (22.7)

122 (36.3)

56 (49.1)

 < 0.001

0.016

 DM

17 (11.4)

88 (20.8)

102 (47.2)

 < 0.001

 < 0.001

 Dyslipidemia

12 (9.1)

57 (16.9)

34 (15.7)

0.192

0.781

 Heavy drinking

68 (45.6)

164 (38.7)

134 (62.0)

0.002

 < 0.001

 Smoking

81 (54.4)

211 (49.8)

139 (64.4)

0.066

 < 0.001

  Serum Alb, g/dl

4.0 (2.4–4.9)

3.8 (2.2–5.1)

3.9 (2.8–5.2)

0.875

 < 0.001

  Serum AST, IU/L

37 (16–178)

46 (6–293)

33 (10–142)

0.064

 < 0.001

  Serum ALT, IU/L

39 (9–134)

43 (5–420)

34 (8–215)

0.016

 < 0.001

  Serum T.bil, mg/dl

0.9 (0.4–1.9)

0.8 (0.2–2.7)

0.8 (0.3–2.8)

0.048

0.565

  Serum Cre, mg/dl

0.74 (0.4–10.4)

0.75 (0.1–9.88)

0.8 (0.4–11.6)

0.015

0.005

 Prothrombin time, %

82 (26–116)

88 (46–125)

89 (32–130)

 < 0.001

0.222

 Platelet count, 104/ml

13.9 (3.9–50.4)

12.1 (3.0–53.1)

16.2 (4.1–41.4)

0.001

 < 0.001

 Fib 4 index

2.5 (0.3–14.3)

3.9 (0.9–16.4)

2.6 (0.4–14.5)

0.975

 < 0.001

 ICGR15, %

13 (2–47)

18 (4–90)

12 (3–89)

0.773

 < 0.001

 AFP, ng/ml

22 (0.7–999,999)

24 (0.3–184,000)

89 (0–9,099,400)

 < 0.001

 < 0.001

 DCP, mAU/ml

60 (10.0–10,300)

60 (8.0–211,120)

92 (10–11,013)

0.046

0.002

 Child–Pugh classification

   

0.007

0.004

 A

139 (93.3)

399 (94.1)

213 (98.6)

  

 B

10 (6.7)

25 (5.9)

3 (1.4)

  

Tumor factors

     

 Primary tumor

   

0.993

0.171

  T1-2

138 (92.6)

404 (95.3)

200 (92.6)

  

  T3-4

11 (7.4)

20 (4.7)

16 (7.4)

  

Tumor size, cm

3.0 (1.1–27)

2.8 (0.9–15.5)

4.0 (0.5–20.0)

 < 0.001

 < 0.001

 Tumor number

   

0.929

0.137

  Single

116 (77.9)

309 (72.9)

169 (78.2)

  

  Multiple

33 (22.1)

115 (27.1)

47 (21.8)

  

 Fc-inf

82 (55.0)

242 (57.1)

123 (56.9)

0.718

0.975

 Portal vein invasion

53 (35.6)

124 (29.3)

66 (30.6)

0.316

0.732

 Hepatic vein invasion

16 (10.7)

36 (8.5)

38 (17.6)

0.065

0.001

 Bile duct invasion

3 (2.0)

7 (1.7)

3 (1.4)

0.647

0.799

 Intrahepatic metastasis

16 (10.7)

42 (9.9)

27 (12.5)

0.606

0.322

 Edmondson-Steiner grade

   

0.384

0.717

  1 or 2

113 (75.8)

310 (73.1)

155 (71.8)

  

  3 or 4

36 (24.2)

114 (26.9)

61 (28.2)

  

 Fibrosis stagea

   

0.002

 < 0.001

  F0-3

87 (58.4)

246 (58.0)

159 (73.6)

  

  F4

62 (41.6)

178 (42.0)

57 (26.4)

  

Surgical factors

     

 Operation time, min

344 (145–712)

340 (100–990)

383 (82–1045)

0.018

 < 0.001

 Blood loss, mL

420 (0–4770)

450 (0–3960)

450 (0–6600)

0.314

0.702

 Intraoperative PRBC

10 (6.7)

36 (8.5)

24 (11.1)

0.148

0.288

 Resected liver weight, g

110 (4–3620)

87 (4–1800)

162 (2–2270)

0.044

 < 0.001

Procedure

   

0.226

 < 0.001

 Anatomical resection

83 (55.7)

195 (46.0)

134 (62.1)

  

 Non-anatomical resection

66 (44.3)

229 (54.0)

82 (37.9)

  

Surgical margin, mm

3.0 (0.0–35.0)

2.0 (0.0–44.0)

2.5 (0.0–60.0)

0.629

0.509

Total bilirubin max, mg/dl

1.5 (0.7–5.3)

1.4 (0.5–18.4)

1.5 (0.6–36.6)

0.662

0.038

PHLF

   

0.160

 < 0.001

 Grade A

12 (7.9)

13 (8.6)

25 (16.6)

  

 Grade B

17 (11.3)

62 (41.1)

19 (12.6)

  

Major complicationb

23 (15.4)

95 (22.4)

45 (20.8)

0.189

0.648

Postoperative hospital stay, days

22 (5–117)

24 (5–111)

17 (4–107)

 < 0.001

 < 0.001

Mortality

0 (0.0)

3 (0.7)

1 (0.4)

0.999

0.998

  1. Data are presented as n (%) or median (range)
  2. HBV-HCC hepatitis B virus-related hepatocellular carcinoma (hepatitis B surface antigen-positive), HCV-HCC hepatitis C virus-related hepatocellular carcinoma (hepatitis C antibody-positive), non-B non-C-HCC non-HBV non-HCV hepatocellular carcinoma, BMI body mass index, HT hypertension, DM diabetes mellitus, Alb albumin, AST aspartate aminotransferase, ALT alanine aminotransferase, T.bil total bilirubin, Cre creatinine, Fib 4 fibrosis-4, ICGR15 indocyanine green retention rate at 15 min, AFP α-fetoprotein, DCP des-gamma-carboxy prothrombin, Fc-inf frequency of tumor invasion to capsular formation, PRBC packed red blood cells, PHLF post-hepatectomy liver failure
  3. a According to the Shin-Inuyama classification
  4. b Major complications refer to grade III or IV events according to the Clavien–Dindo classification