PMID- 31341898 OWN - NLM STAT- MEDLINE DCOM- 20191224 LR - 20231012 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2019 DP - 2019 TI - Jiedu Granule Combined with Transcatheter Arterial Chemoembolization and Gamma Knife Radiosurgery in Treating Hepatocellular Carcinoma with Portal Vein Tumor Thrombus. PG - 4696843 LID - 10.1155/2019/4696843 [doi] LID - 4696843 AB - BACKGROUND: The potential advantages of Jiedu granule (a compound Chinese herbal medicine) combined therapeutic strategies compared with non-Jiedu granule therapeutic strategies for hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) remain unclear. Thus, the purpose of the study was to investigate the safety and efficacy of Jiedu granule for HCC with PVTT. METHODS: We retrospectively reviewed the clinical data of 190 patients (94 for non-Jiedu and 96 for Jiedu) with HCC and PVTT from March 2012 to October 2016. Patients were followed up by outpatient examination and telephone till November 2018. RESULTS: It was statistically insignificant between the two groups in baseline characteristics. Procedure-related adverse events (AEs) were observed and compared and most of them were not serious which were easily controlled or subsided naturally. No AE-induced death happened. The median overall survival (OS) rates in the single TACE plus GKR and Jiedu granule combined group were 11.3 months (95% CI: 9.168-13.435) and 15.8 months (95% CI: 13.244-18.339), respectively (p = 0.00047). CONCLUSIONS: Jiedu granule combined with TACE plus GKR is safe in HCC patients with PVTT and this Chinese herbal medicine is worthy to be promoted because of better prognosis which needs further research. FAU - Wang, Jianchu AU - Wang J AD - Department of Hepatobiliary Surgery, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China. FAU - Luo, Jinhong AU - Luo J AD - Department of Oncology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Yin, Xiaolan AU - Yin X AD - Department of Radiotherapy, Changhai Hospital Hongkou District Affiliated to Naval Medical University, Shanghai 200081, China. FAU - Huang, Wei AU - Huang W AD - Department of Oncology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Cao, Huangming AU - Cao H AD - Department of Oncology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Wang, Guilin AU - Wang G AD - Department of Radiotherapy, Changhai Hospital Hongkou District Affiliated to Naval Medical University, Shanghai 200081, China. FAU - Wang, Jincheng AU - Wang J AUID- ORCID: 0000-0001-9345-2388 AD - Liver Transplantation Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Zhou, Jun AU - Zhou J AUID- ORCID: 0000-0001-7586-9905 AD - Department of Oncology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20190625 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (Drugs, Chinese Herbal) SB - IM MH - *Carcinoma, Hepatocellular/mortality/therapy MH - *Chemoembolization, Therapeutic MH - Combined Modality Therapy MH - Drugs, Chinese Herbal/*administration & dosage MH - Female MH - Follow-Up Studies MH - Humans MH - *Liver Neoplasms/mortality/therapy MH - Male MH - Middle Aged MH - *Portal Vein MH - *Radiosurgery MH - Retrospective Studies MH - *Venous Thrombosis/mortality/therapy PMC - PMC6614979 EDAT- 2019/07/26 06:00 MHDA- 2019/12/25 06:00 PMCR- 2019/06/25 CRDT- 2019/07/26 06:00 PHST- 2019/05/05 00:00 [received] PHST- 2019/06/08 00:00 [accepted] PHST- 2019/07/26 06:00 [entrez] PHST- 2019/07/26 06:00 [pubmed] PHST- 2019/12/25 06:00 [medline] PHST- 2019/06/25 00:00 [pmc-release] AID - 10.1155/2019/4696843 [doi] PST - epublish SO - Biomed Res Int. 2019 Jun 25;2019:4696843. doi: 10.1155/2019/4696843. eCollection 2019.