지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.105 No.5
- 발행연도
- 2023.11
- 수록면
- 319 - 332 (14page)
이용수
초록· 키워드
오류제보하기
Purpose: In the treatment of hilar cholangiocarcinoma (HCCA), combined resection of important hepatic vessels remains controversial. The purpose of this study was to compare the postoperative complications and prognosis of combined and non-combined major vessel resections in patients undergoing radical resection for HCCA.
Methods: In this study, patients with HCCA who underwent curative resection between January 2007 and December 2018 were retrospectively enrolled. Postoperative complications and prognosis between the groups were compared using propensity score-matching (PSM) analysis.
Results: There were 310 patients included in this study. The portal vein resection (PVR) and hepatic artery resection (HAR) groups had a higher incidence of postoperative complications than the control group. Patients in the HAR group had an increased risk of abdominal and pleural effusion after surgery. Patients who underwent combined PVR had better overall survival (OS; P = 0.020) and disease-free survival (DFS; P = 0.020). After curative-intent resection, patients in the HAR group had improved OS (P = 0.027) and DFS (P = 0.023). The postoperative complications of combined vascular resection (VR) did not worsen long-term survival for patients.
Conclusion: In patients with HCCA, combined VR improved prognosis. The postoperative complications of combined VR do not worsen patient survival. Therefore, radical surgical resection is recommended.
Methods: In this study, patients with HCCA who underwent curative resection between January 2007 and December 2018 were retrospectively enrolled. Postoperative complications and prognosis between the groups were compared using propensity score-matching (PSM) analysis.
Results: There were 310 patients included in this study. The portal vein resection (PVR) and hepatic artery resection (HAR) groups had a higher incidence of postoperative complications than the control group. Patients in the HAR group had an increased risk of abdominal and pleural effusion after surgery. Patients who underwent combined PVR had better overall survival (OS; P = 0.020) and disease-free survival (DFS; P = 0.020). After curative-intent resection, patients in the HAR group had improved OS (P = 0.027) and DFS (P = 0.023). The postoperative complications of combined vascular resection (VR) did not worsen long-term survival for patients.
Conclusion: In patients with HCCA, combined VR improved prognosis. The postoperative complications of combined VR do not worsen patient survival. Therefore, radical surgical resection is recommended.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Resection first
대한임상종양학회 학술대회지
2019 .02
-
Hepatic resection for isolated stomach cancer liver metastases: A single-center experience
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2019 .12
-
Hepatic resection for isolated breast cancer liver metastasis : A single-center experience
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2017 .12
-
조기 위암의 내시경 치료 후 불완전 절제 시의 대책
대한의사협회지
2022 .05
-
Single Institute Hepatic Resection for Elderly Patients with Hepatocellular Carcinoma: A Short- Term Outcomes
대한외과학회 학술대회 초록집
2021 .05
-
Prognosis after resection for lung metastasis after curative resection for colorectal cancer
대한외과학회 학술대회 초록집
2016 .05
-
Combined vascular resection for locally advanced perihilar cholangiocarcinoma, focusing on portal vein resection
Annals of Hepato-Biliary-Pancreatic Surgery
2022 .12
-
Comparison of survival of surgical resection and conservative treatment in patients with gastric cancer aged 80 years or older : a single-center experience
Annals of Surgical Treatment and Research
2016 .11
-
A scoring system to predict the risk of postoperative complications after laparoscopic liver resection in elderly hepatocellular carcinoma patients
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .12
-
The Benefits of Resection for Gastric Carcinoma Patients with Non-curative Factors
전남의대학술지
2018 .01
-
Robotic major liver resections: Surgical outcomes compared with open major liver resections
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .02
-
Simultaneous Major Liver Resection and Colon Cancer Resection
대한외과학회 학술대회 초록집
2017 .11
-
Palliative resection of a primary tumor in patients with unresectable colorectal cancer : could resection type improve survival?
Annals of Surgical Treatment and Research
2016 .10
-
Cavernous Malformations at Optic Apparatus: Three Cases
Journal of Cerebrovascular and Endovascular Neurosurgery
2018 .01
-
Comparative study of Laparoscopic Liver Resection and Open Liver Resection in Patients over 70 years of age.
대한외과학회 학술대회 초록집
2017 .11
-
Hilar portal vein wedge resection and patch venoplasty in patients undergoing bile duct resection for hepatobiliary malignancy: A report of two cases
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .02
-
Survival analysis following resection of AJCC stage III gallbladder carcinoma based on different combinations of T and N stages
Annals of Hepato-Biliary-Pancreatic Surgery
2015 .02
-
Analysis of Differences in Clinical Outcome after Surgical Resection for Hepatocellular Carcinomas by the Periods
대한외과학회 학술대회 초록집
2021 .05
-
Surgical outcomes of perihilar cholangiocarcinoma based on the learning curve of a single surgeon at a tertiary academic hospital: A retrospective study
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .02
-
Retroperitoneal sarcomas: Outcomes of repeated resections
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2020 .12
이 논문의 저자 정보
최근 본 자료
댓글(0)
0