Reappraisal of Percutaneous Transhepatic Biliary Drainage Tract Recurrence After Resection of Perihilar Bile Duct Cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-12-08

AUTHORS

Shin Hwang, Gi-Won Song, Tae-Yong Ha, Young-Joo Lee, Ki-Hun Kim, Chul-Soo Ahn, Kyu-Bo Sung, Gi-Young Ko, Myeong-Hwan Kim, Sung-Koo Lee, Deok-Bog Moon, Dong-Hwang Jung, Gil-Chun Park, Sung-Gyu Lee

ABSTRACT

BackgroundThe high incidence of percutaneous transhepatic biliary drainage (PTBD) tract recurrence after resection of perihilar bile duct cancer (BDC) at a reference single center has suggested the need for endoscopic biliary drainage (EBD) to prevent PTBD-related tumor recurrence. To determine the general applicability of these findings, we validated the risk of PTBD tract recurrence in patients with resected BDC in our high-volume center.MethodsThe medical records of 306 patients with perihilar BDC who underwent hepatobiliary resection with curative intent over 10 years were reviewed retrospectively.ResultsOf the 306 patients, 293 (95.8%) underwent biliary decompression, 171 (56.1%) by preoperative PTBD, 62 (20.3%) by EBD alone, and 60 (19.7%) by both. Of the 231 patients who underwent PTBD, 160 (69.3%), 62 (26.8%), and 9 (3.9%) had one, two, or three catheters, respectively (mean of 1.3 catheters per patient for a median 23 days). No patient experienced synchronous PTBD tract metastasis, whereas 4 (1.7%) experienced PTBD tract recurrence a median 13.5 months after surgery, with 3 of these patients having an intraabdominal recurrence soon afterward. Only one patient had a solitary tract recurrence without intraabdominal metastasis. These patients survived for a median 25 months, which is comparable to survival outcomes after noncurative resection. No risk factor was significantly associated with PTBD tract recurrence.ConclusionsWe think that the risk of PTBD tract recurrence after resection of perihilar BDC is not negligible but is much lower than previously reported. There is no definitive reason to avoid PTBD when it is indicated. More... »

PAGES

379-385

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00268-011-1364-4

DOI

http://dx.doi.org/10.1007/s00268-011-1364-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1007344684

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22159824


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30 schema:description BackgroundThe high incidence of percutaneous transhepatic biliary drainage (PTBD) tract recurrence after resection of perihilar bile duct cancer (BDC) at a reference single center has suggested the need for endoscopic biliary drainage (EBD) to prevent PTBD-related tumor recurrence. To determine the general applicability of these findings, we validated the risk of PTBD tract recurrence in patients with resected BDC in our high-volume center.MethodsThe medical records of 306 patients with perihilar BDC who underwent hepatobiliary resection with curative intent over 10 years were reviewed retrospectively.ResultsOf the 306 patients, 293 (95.8%) underwent biliary decompression, 171 (56.1%) by preoperative PTBD, 62 (20.3%) by EBD alone, and 60 (19.7%) by both. Of the 231 patients who underwent PTBD, 160 (69.3%), 62 (26.8%), and 9 (3.9%) had one, two, or three catheters, respectively (mean of 1.3 catheters per patient for a median 23 days). No patient experienced synchronous PTBD tract metastasis, whereas 4 (1.7%) experienced PTBD tract recurrence a median 13.5 months after surgery, with 3 of these patients having an intraabdominal recurrence soon afterward. Only one patient had a solitary tract recurrence without intraabdominal metastasis. These patients survived for a median 25 months, which is comparable to survival outcomes after noncurative resection. No risk factor was significantly associated with PTBD tract recurrence.ConclusionsWe think that the risk of PTBD tract recurrence after resection of perihilar BDC is not negligible but is much lower than previously reported. There is no definitive reason to avoid PTBD when it is indicated.
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37 schema:keywords ConclusionsWe
38 MethodsThe medical records
39 PTBD
40 PTBD tract
41 PTBD tract metastasis
42 PTBD tract recurrence
43 ResultsOf
44 applicability
45 bile duct cancer
46 biliary decompression
47 biliary drainage
48 biliary drainage (PTBD) tract recurrence
49 cancer
50 catheter
51 center
52 curative intent
53 decompression
54 definitive reason
55 drainage
56 drainage (PTBD) tract recurrence
57 duct cancer
58 endoscopic biliary drainage
59 factors
60 findings
61 general applicability
62 hepatobiliary resection
63 high incidence
64 high-volume centers
65 incidence
66 intent
67 intraabdominal metastases
68 intraabdominal recurrence
69 medical records
70 metastasis
71 months
72 need
73 noncurative resection
74 outcomes
75 patients
76 percutaneous transhepatic biliary drainage (PTBD) tract recurrence
77 perihilar bile duct cancer
78 preoperative PTBD
79 reappraisal
80 reasons
81 records
82 recurrence
83 reference single center
84 resection
85 risk
86 risk factors
87 single center
88 solitary tract recurrence
89 surgery
90 survival outcomes
91 synchronous PTBD tract metastasis
92 tract
93 tract metastasis
94 tract recurrence
95 transhepatic biliary drainage (PTBD) tract recurrence
96 tumor recurrence
97 years
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