128

Martin, Robert C.G.

doi:10.1016/s1091-255x(02)00330-x

Cited by 6 publications

(10 citation statements)

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“…The mean age at diagnosis was significantly higher in women than in men. In hospital-based statistics, age at diagnosis is generally lower than in our study, suggesting that older patients are rarely seen in specialised centres [17][18][19][20].…”

Section: Discussioncontrasting

confidence: 79%

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Trends in the incidence and management of biliary tract cancer: A French population-based study

Lepage

Cottet

Chauvenet

et al. 2011

Journal of Hepatology

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Section: Discussioncontrasting

confidence: 79%

“…Despite this, however,<15% of cases diagnosed during the most recent period could be resected for cure. Resection rates for cure were lower than those reported previously in hospital-based series [18,20]. This discrepancy is not surprising.…”

Section: Discussioncontrasting

confidence: 69%

Trends in the incidence and management of biliary tract cancer: A French population-based study

Lepage

Cottet

Chauvenet

et al. 2011

Journal of Hepatology

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“…28 On the other hand, MVR for biliary malignancies is rarely advocated due to the high morbidity (47-91 %) and mortality (18-47 %) rates, especially after combined pancreatic and hepatic resections. 29,30 Our data indicate that MVR for gastric adenocarcinoma appears to offer reasonable long-term survival in all cases except for T4 tumors invading the pancreas, in which case no long-term survivors were identified.…”

Section: Discussionmentioning

confidence: 73%

Multivisceral Resection for Gastric Cancer: Results from the US Gastric Cancer Collaborative

et al. 2015

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“…[35][36][37] However, the perioperative mortality rate is high and few patients have shown any survival advantage after such extensive surgery. [36][37][38] Therefore, the indications for this radical procedure remain limited.…”

mentioning

confidence: 99%

A Curative Resection Improves the Postoperative Survival Rate Even in Patients with Advanced Gallbladder Carcinoma

Kai

Chijiiwa

Ohuchida

et al. 2007

Journal of Gastrointestinal Surgery

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The aim of this study was to evaluate the results of our series of 90 operations for gallbladder carcinoma according to the Japanese Society of Biliary Surgery (JSBS) classification system and to clarify the appropriate surgical strategy for advanced gallbladder carcinoma based on the depth of primary tumor invasion and lymph node metastasis. Generally, only a surgical resection can achieve a prognostic improvement of the advanced gallbladder carcinoma. The survival of patients with this neoplasm depends strictly on the depth of histological primary tumor invasion and lymph node metastasis. A retrospective analysis was conducted on 90 patients from 1990 to 2004 who underwent a surgical resection of gallbladder carcinoma. The factors influencing survival were examined. Thirty-nine patients with palliative treatment (not resected cases), which was diagnosed as T3 or T4 by preoperative imagings, were also included in this study. The significance of the variables for survival was examined by the Kaplan-Meier method and the log-rank test followed by multivariate analyses using Cox's proportional hazard model. Portal invasion, lymph node metastasis, the surgical margin (+ vs. -) and the final curability (fCurA, B vs. C) were all found to be independent prognostic factors in the multivariate analysis. In pT2 gallbladder carcinoma, a better survival was achieved in an aggressive surgical approach, in order of a S4a+S5 hepatic resection, an extended cholecystectomy and a cholecystectomy. In pT3 and pT4, although radical extended surgery did not provide the opportunity for good survival even after lobectomy of the liver, the survival of patients with curative surgery was statistically better than in those without curative surgery. In addition, the nodal involvement of pN1 to pN2 was better than that with pN3. A S4a+S5 hepatectomy, therefore, appears to be adequate for the treatment of pT2 gallbladder carcinoma. Even in patients with pT3 and pT4 gallbladder carcinoma, long-term survival can be expected by an operation with a tumor-free surgical margin. The role of radical surgery, however, is considered to be limited in patients with pN3 lymph node metastasis.

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128

Cited by 6 publications

References 0 publications

Trends in the incidence and management of biliary tract cancer: A French population-based study

Trends in the incidence and management of biliary tract cancer: A French population-based study

Multivisceral Resection for Gastric Cancer: Results from the US Gastric Cancer Collaborative

A Curative Resection Improves the Postoperative Survival Rate Even in Patients with Advanced Gallbladder Carcinoma

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