Surgical procedure and prognotic analysis of extrahepatic cholangiocarcinoma: A report of 161 cases / 肿瘤
Tumor
;
(12): 251-255, 2008.
Artigo
em Chinês
| WPRIM
| ID: wpr-849411
ABSTRACT
Objective:
To explore the impact of clinical features and surgical procedure on survival of extrahepatic cholangiocarcinoma (EHCC) and the prognostic factors in patients with EHCC after curative resection.Methods:
From 1995 to 2006, 161 EHCC patients undergoing operations were included in this study. The clinical features, diagnosis, surgical procedure and follow-up data were retrospectively analyzed. Factors influencing postoperative survival were analyzed using COX multiple stepwise regression model.Results:
Of the 161 patients, 110 underwent radical resection and 32 underwent palliative resection, 19 underwent drainage or laparotomy. The overall 1-, 2-, 3-,and 5-year survival rates were 74.9%, 45.3%, 36.5%, and 11.1%, respectively. COX analysis showed hepatic infiltration, portal vein and/or hepatic artery invasion, and lymph node metastasis were independent prognostic factors after radical resection (P < 0.05).Conclusion:
The radical resection is the key factor for increasing the long-term survival rate and improving the life qualities of EHCC patients. Partial hepatectomy or/and pancreatoduodenectomy in combination with skeletonization may be helpful for increasing radical resection rate and long-term efficacy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Tipo de estudo:
Estudo prognóstico
Idioma:
Chinês
Revista:
Tumor
Ano de publicação:
2008
Tipo de documento:
Artigo
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