Factors affecting survival after resection of intrahepatic cholangiocarcinoma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-10

AUTHORS

Sae Murakami, Tetsuo Ajiki, Taro Okazaki, Kimihiko Ueno, Masahiro Kido, Ippei Matsumoto, Takumi Fukumoto, Yonson Ku

ABSTRACT

PURPOSE: This study aimed at assessing the prognostic factors of resection of intrahepatic cholangiocarcinoma (IHCC), which remain unclear. METHODS: Among 70 patients with IHCC, who were admitted to our hospital between 1998 and 2011, 45 (64 %) underwent resection and 25 had unresectable tumors. Univariate and multivariate analyses were conducted retrospectively to assess the factors influencing survival of the patients who underwent resection. RESULTS: The median survival times of the patients who underwent resection versus those who did not were 16 months versus 9 months, respectively (P < 0.001). Multivariate analysis identified residual tumor status (relative risk 4.12, P = 0.04) and pathological differentiation (relative risk 5.55, P = 0.04) as independent factors predicting survival. Patients who underwent R1 resection had a significantly higher rate of local recurrence than those who underwent R0 resection (P = 0.008). With R0 resection, there were no significant differences in patterns and rates of recurrence between patients with narrow (≤ 5 mm) versus wide (>5 mm) surgical margins. CONCLUSIONS: R0/1 resection and a well-differentiated tumor were found to be independent prognostic factors for long-term survival after IHCC resection. If R0 resection was achieved, the width of the negative surgical margin did not affect the patterns and rates of recurrence. More... »

PAGES

1847-1854

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00595-013-0825-9

    DOI

    http://dx.doi.org/10.1007/s00595-013-0825-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1006508747

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/24452507


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