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논문 기본 정보

자료유형
학술저널
저자정보
Shahin Hajibandeh (University Hospitals of North Midlands NHS Trust) Shahab Hajibandeh (Swansea Bay University Health Board) Daisy Evans (University Hospitals of North Midlands NHS Trust) Tejinderjit S. Athwal (University Hospitals of North Midlands NHS Trust)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제28권 제3호
발행연도
2024.8
수록면
315 - 324 (10page)

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초록· 키워드

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The role of surgical resection in patients with recurrent pancreatic cancer is unclear. We aimed to evaluate the survival outcomes of pancreatic re-resection for locally recurrent pancreatic cancer following index pancreatectomy. A literature search was carried out in CENTRAL, EMBASE, MEDLINE, CINAHL, and Web of Science. Proportion meta-analysis model was constructed to quantify 1 to 5-year survival after pancreatic re-resection for locally recurrent pancreatic cancer. Random-effects modelling was applied to calculate pooled outcome data. Fifteen retrospective studies were included, reporting a total of 250 patients who underwent pancreatic re-resection for locally recurrent pancreatic cancer following their index pancreatectomy. Pancreatic re-resection was associated with 1-year survival 70.6% (95% confidence interval [CI], 65.0−76.2), 2-year survival 38.8% (95% CI, 28.6−49.0), 3-year survival 20.2% (95% CI, 13.8−26.7), and 5-year survival 9.2% (95% CI, 5.5−12.8). The between-study heterogeneity was insignificant in all outcome syntheses. Repeat pancreatectomy for local recurrence of pancreatic cancer in the remnant pancreas following the index pancreatectomy is associated with acceptable overall patient survival. We recommend selective re-resection of such recurrences in younger patients with favorable tumor size and location. Our findings may encourage more robust studies to be conducted in this context to provide stronger evidence.

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INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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