Combined vascular resection and analysis of prognostic factors for hilar cholangiocarcinoma

Wang, Shu-Tong; Shen, Shunli; Peng, Baogang; Hua, Yunpeng; Chen, Bin; Li, Shaoqiang; He, Qiang; Liu, Liang

doi:10.1016/s1499-3872(15)60025-x

Cited by 22 publications

(36 citation statements)

References 17 publications

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“…No differences in morbidity rates were observed in most of the published studies (17)(18)(19)(20)(21)(22)25,(27)(28)(29)46), as it was the case in the present series. Only one study showed significantly increased morbidity rates when a PVR is performed (23).…”

Section: Discussionsupporting

confidence: 61%

“…In most of the previously reported patients, a segmental PVR was necessary, and a primarily end-to-end anastomosis was possible (5,6,11,19,21,22,27,28,43), as it was the case in the present series.…”

Section: Discussionsupporting

confidence: 60%

“…However, Wang and co-workers identify significantly increased blood loss when a PVR is performed (28). In the present series, both the operative time and blood loss were significantly higher when a PVR was performed.…”

Section: Discussioncontrasting

confidence: 48%

“…Regarding the early outcomes, some studies associated a PVR with trends towards increased mortality rates (15,24,27,49) while others did not (6,11,(18)(19)(20)(21)(22)(23)25,28), as it was the case in the present series. No differences in morbidity rates were observed in most of the published studies (17)(18)(19)(20)(21)(22)25,(27)(28)(29)46), as it was the case in the present series.…”

Section: Discussionmentioning

confidence: 43%

“…Although challenging, the safety of a portal vein resection (PVR) during curative-intent surgery for PHC has been demonstrated in several studies (6,7,11,(18)(19)(20). However, the impact of a PVR in PHC surgery remains controversial and previous comparative studies reached conflicting results (5,7,11,(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29), none including patients from Eastern Europe. Furthermore, meta-analyses comparing the outcomes of patients with and without a PVR for PHC did not reach the same conclusions (29)(30)(31)(32)(33).…”

Section: Introductionmentioning

confidence: 99%

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Curative-intent Surgery for Perihilar Cholangiocarcinoma with and without Portal Vein Resection - A Comparative Analysis of Early and Late Outcomes

Dumitraşcu¹,

Stroescu²,

Brasoveanu³

et al. 2017

chr

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Introducere: Siguranţa rezecţiei de venă portă în chirurgia colangiocarcinoamelor perihilare a fost deja dovedită în Asia, America şi Europa de Vest. Totuşi, nu există nici un fel de date referitoare la acest subiect, care să provină din Europa de Est. Scopul studiului este de a evalua comparativ rezultatele postoperatorii imediate şi pe termen lung după rezecţia cholangiocarcinoamelor perihilare, cu şi fără rezecţie de venă portă. Pacienţi şi metode: Datele a 21 de pacienţi rezecaţi pentru colangiocarcinoame perihilare ce au asociat rezecţia venei porte au fost comparate cu datele a 102 pacienţi fără rezecţie de venă portă. Pentru analiza comparativă a datelor din cele două grupuri s-au folosit teste statistice specifice. Rezultate: Rezecţia venei porte a fost realizată la 17% dintre pacienţi. În grupul pacienţilor cu rezecţie asociată de venă portă au fost realizate semnificativ mai multe trisecţionectomii drepte (p = 0.031) şi rezecţii de lob caudat (p = 0.049). Ca urmare, atât timpul operator (p = 0.015) cât şi pierderea de sânge intraoperator (p = 0.002) au fost semnificativ mai mari în acest grup de pacienţi cu rezecţie de venă portă. Nu s-au constatat diferenţe semnificative între cele două grupuri de pacienţi în ceea ce priveşte rata complicaţiilor severe postoperatorii, mortalitatea postoperatorie şi chimioterapia adjuvantă. Totuşi, în grupul pacienţilor cu rezecţie de venă portă, rata insuficenţei hepatice postoperatorii cu impact clinic

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Section: Discussionsupporting

confidence: 61%

Section: Discussionsupporting

confidence: 60%

Section: Discussioncontrasting

confidence: 48%

Section: Discussionmentioning

confidence: 43%

Section: Introductionmentioning

confidence: 99%

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Curative-intent Surgery for Perihilar Cholangiocarcinoma with and without Portal Vein Resection - A Comparative Analysis of Early and Late Outcomes

Dumitraşcu¹,

Stroescu²,

Brasoveanu³

et al. 2017

chr

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Clinical practice guidelines for the management of biliary tract cancers 2019: The 3rd English edition

Nagino

Hirano

Yoshitomi

et al. 2020

J Hepato Biliary Pancreat

140

106

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BackgroundThe Japanese Society of Hepato‐Biliary‐Pancreatic Surgery launched the clinical practice guidelines for the management of biliary tract cancers (cholangiocarcinoma, gallbladder cancer, and ampullary cancer) in 2007, then published the 2nd version in 2014.MethodsIn this 3rd version, clinical questions (CQs) were proposed on six topics. The recommendation, grade for recommendation, and statement for each CQ were discussed and finalized by an evidence‐based approach. Recommendations were graded as Grade 1 (strong) or Grade 2 (weak) according to the concepts of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system.ResultsThe 31 CQs covered the six topics: (a) prophylactic treatment, (b) diagnosis, (c) biliary drainage, (d) surgical treatment, (e) chemotherapy, and (f) radiation therapy. In the 31 CQs, 14 recommendations were rated strong and 14 recommendations weak. The remaining three CQs had no recommendation. Each CQ includes a statement of how the recommendations were graded.ConclusionsThis latest guideline provides recommendations for important clinical aspects based on evidence. Future collaboration with the cancer registry will be key for assessing the guidelines and establishing new evidence.

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Cancer of the Gallbladder and Biliary Tree

Filauro

Angelini

Fazio

et al. 2017

Surgical Management of Elderly Patients

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Combined vascular resection and analysis of prognostic factors for hilar cholangiocarcinoma

Cited by 22 publications

References 17 publications

Curative-intent Surgery for Perihilar Cholangiocarcinoma with and without Portal Vein Resection - A Comparative Analysis of Early and Late Outcomes

Curative-intent Surgery for Perihilar Cholangiocarcinoma with and without Portal Vein Resection - A Comparative Analysis of Early and Late Outcomes

Clinical practice guidelines for the management of biliary tract cancers 2019: The 3rd English edition

Cancer of the Gallbladder and Biliary Tree

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