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.94 No.5
- 발행연도
- 2018.5
- 수록면
- 240 - 246 (7page)
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초록· 키워드
오류제보하기
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.
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.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
[학술지(정기간행물)] - Nakeeb A / 1996 / Cholangiocarcinoma. A spectrum of intrahepatic, perihilar, and distal tumors / Ann Surg 224 : 463 ~ 473
[학술지(정기간행물)] - Kondo S / 2008 / Guidelines for the management of biliary tract and ampullary carcinomas: surgical treatment / J Hepatobiliary Pancreat Surg 15 : 41 ~ 54
[학술지(정기간행물)] - Skipworth JR / 2014 / Update on the management of cholangiocarcinoma / Dig Dis 32 : 570 ~ 578
[학술지(정기간행물)] - Miyazaki M / 1998 / Aggressive surgical approaches to hilar cholangiocarcinoma: hepatic or local resection? / Surgery 123 : 131 ~ 136
[학술지(정기간행물)] - Seyama Y / 2007 / Current surgical treatment for bile duct cancer / World J Gastroenterol 13 : 1505 ~ 1515
[학술지(정기간행물)] - Kondo S / 2008 / Guidelines for the management of biliary tract and ampullary carcinomas: surgical treatment / J Hepatobiliary Pancreat Surg 15 : 41 ~ 54
[학술지(정기간행물)] - Skipworth JR / 2014 / Update on the management of cholangiocarcinoma / Dig Dis 32 : 570 ~ 578
[학술지(정기간행물)] - Miyazaki M / 1998 / Aggressive surgical approaches to hilar cholangiocarcinoma: hepatic or local resection? / Surgery 123 : 131 ~ 136
[학술지(정기간행물)] - Seyama Y / 2007 / Current surgical treatment for bile duct cancer / World J Gastroenterol 13 : 1505 ~ 1515
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