教員業績データベース |
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論文種別 | 原著 |
言語種別 | 英語 |
査読の有無 | 査読なし |
表題 | Is Surgical Resection Justified for Advanced Intrahepatic Cholangiocarcinoma? |
掲載誌名 | 正式名:Liver cancer 略 称:Liver Cancer ISSNコード:2235-1795(Print)1664-5553(Linking) |
掲載区分 | 国外 |
巻・号・頁 | 5(4),pp.280-9 |
著者・共著者 | Yoh Tomoaki, Hatano Etsuro, Yamanaka Kenya, Nishio Takahiro, Seo Satoru, Taura Kojiro, Yasuchika Kentaro, Okajima Hideaki, Kaido Toshimi, Uemoto Shinji |
発行年月 | 2016/10 |
概要 | BACKGROUNDS:Prognosis for patients with advanced intrahepatic cholangiocarcinoma (ICC) with intrahepatic metastasis (IM), vascular invasion (VI), or regional lymph node metastasis (LM) remains poor. The aim of this study was to clarify the indications for surgical resection for advanced ICC.METHODS:We retrospectively divided 213 ICC patients treated at Kyoto University Hospital between 1993 and 2013 into a resection (n=164) group and a non-resection (n=49) group. Overall survival was assessed after stratification for the presence of IM, VI, or LM.RESULTS:Overall median survival times (MSTs) for the resection and non-resection groups were 26.0 and 7.1 months, respectively (pRESULTS:<RESULTS:0.001). After stratification, MSTs in the resection and non-resection groups, respectively, were 18.7 vs. 7.0 months for patients with IM (pRESULTS:<RESULTS:0.001), 23.4 vs. 5.7 months for those with VI (pRESULTS:<RESULTS:0.001), and 12.8 vs. 5.5 months for those with LM (pRESULTS:<RESULTS:0.001).CONCLUSION:When macroscopic curative resection is possible, surgical resection can be justified for some advanced ICC patients with IM, VI, or LM. |
DOI | 10.1159/000449339 |
PMID | 27781200 |