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Otsuka et al. Indications and technique for LLR in HCC with liver cirrhosis

may be indicated, with or without prior local ablation Conflicts of interest
therapy, if abdominal adhesion is limited and tumor There are no conflicts of interest.
location and characteristics are suitable for a
laparoscopic approach. [57] Patient consent
Not involved.
Long-term outcomes
With respect to oncological considerations, evidence from Ethics approval
meta-analyses suggests that surgical tumor margins are Not involved.
adequately maintained during LLR. [46,47,50-54] In addition, an
analysis of long-term outcomes showed no oncological REFERENCES
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