Analysis of Prognostic Factors after Surgery for Gallbladder Cancer
Journal of the Korean Surgical Society
; : 476-481, 2005.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-90626
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Gallbladder cancer, which is the most common malignancy of the biliary tract, is frequently associated with poor prognosis. The aim of this study was to evaluate outcomes with gallbladder cancer according to the surgical treatment, pathologic stage, and prognostic factors.METHOD:
The medical records of 52 consecutive patients with gallbladder cancer treated at our institution from June 1996 through June 2005 were reviewed retrospectively. Survival was analyzed using the Kaplan-Meier method (mean followed period 60 months) and the log-rank test. Prognostic factors were analyzed using Cox regression.RESULTS:
Mean patient age was 67 years. Fiftysix percent of patients were female. Twentyeight patients (56%) underwent curative resection (5 simple cholecystectomies and 23 radical cholecystectomies). There were no procedure-related deaths. The Overall 5-year survival was 18%. Patients who underwent curative resection had a higher 5-year survival rate (40%) than patients who underwent palliative surgery (0%; P=0.0001). The palliative surgery, high T stage, positive lymph node metastasis were significant factors predictive of worse survivial.CONCLUSION:
The good long-term survival may be achieved by an early diagnosis and radical resection.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.4: Reduce premature mortality due to noncommunicable diseases
Database:
WPRIM (Western Pacific)
Main subject:
Palliative Care
/
Prognosis
/
Biliary Tract
/
Cholecystectomy
/
Medical Records
/
Survival Rate
/
Retrospective Studies
/
Early Diagnosis
/
Gallbladder
/
Gallbladder Neoplasms
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Screening study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Surgical Society
Year:
2005
Document type:
Article