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Bile duct segmental resection versus pancreatoduodenectomy for middle and distal common bile duct cancer
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Type
Academic journal
Author
Naru Kim (Ewha Womans University School of Medicine) Huisong Lee (Ewha Womans University School of Medicine) Seog Ki Min (Ewha Womans University School of Medicine) Hyeon Kook Lee (Ewha Womans University School of Medicine)
Journal
The Korean Surgical Society Annals of Surgical Treatment and Research Vol.94 No.5 KCI Accredited Journals SCIE
Published
2018.5
Pages
240 - 246 (7page)

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Bile duct segmental resection versus pancreatoduodenectomy for middle and distal common bile duct cancer
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Purpose: To compare survival outcomes between bile duct segmental resection (BDR) and pancreatoduodenectomy (PD) for the treatment of middle and distal bile duct cancer.
Methods: From 1997 to 2013, a total of 96 patients who underwent curative intent surgery for middle and distal bile duct cancer were identified. The patients were divided into 2 groups based on the type of operation; 20 patients were included in the BDR group and 76 patients were in the PD group. We retrospectively reviewed the clinical outcomes.
Results: The number of lymph nodes (LNs) was significantly greater in patients within the PD group compared to the BDR group. The total number of LNs was 6.5 ± 8.2 vs. 11.2 ± 8.2 (P = 0.017) and the number of metastatic LNs was 0.4 ± 0.9 vs. 1.0 ± 1.5 (P = 0.021), respectively. After a median follow-up period of 24 months (range, 4–169 months), the recurrence-free survival of the PD group was superior to that of the BDR group (P = 0.035). In the patients with LN metastases, the patients undergoing PD had significantly better survival than the BDR group (P ＜ 0.001).
Conclusion: Surgeons should be cautious in deciding to perform BDR for middle and distal common bile duct cancer. PD is recommended if LN metastases are suspected.
#Cholangiocarcinoma #Common bile duct neoplasms #Pancreaticoduodenectomy #Recurrence #Survival

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REFERENCES

References (21)

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[학술지(정기간행물)] - Nakeeb A / 1996 / Cholangiocarcinoma. A spectrum of intrahepatic, perihilar, and distal tumors / Ann Surg 224 : 463 ~ 473 Crossref [학술지(정기간행물)] - Kondo S / 2008 / Guidelines for the management of biliary tract and ampullary carcinomas: surgical treatment / J Hepatobiliary Pancreat Surg 15 : 41 ~ 54 Crossref [학술지(정기간행물)] - Skipworth JR / 2014 / Update on the management of cholangiocarcinoma / Dig Dis 32 : 570 ~ 578 Crossref [학술지(정기간행물)] - Miyazaki M / 1998 / Aggressive surgical approaches to hilar cholangiocarcinoma: hepatic or local resection? / Surgery 123 : 131 ~ 136 Crossref [학술지(정기간행물)] - Seyama Y / 2007 / Current surgical treatment for bile duct cancer / World J Gastroenterol 13 : 1505 ~ 1515 Crossref

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