Radiological staging in patients with hilar cholangiocarcinoma: a systematic review and meta-analysis

Ruys, Anthony T.; Beem, B E Van; Engelbrecht, Marc R.; Bipat, Shandra; Stoker, J.; Gulik, Thomas M. Van

doi:10.1259/bjr/88405305

Cited by 138 publications

(124 citation statements)

References 25 publications

(31 reference statements)

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“…Thus, few surgical centers propose the routine en-bloc PVR ("notouch" technique) (7,20,22,(44)(45)(46), while most of the surgical teams recommend the selective use of the PVR (2,5,6,11,15,18,21,23,25,28, 29,43), only when the preoperative imaging or intraoperative exploration suspect portal vein invasion by the tumor (8), as in was the case in the present series. A recent systematic review and meta-analysis have shown that the sensitivity and specificity of a preoperative contrastenhanced computed tomography in detecting a portal vein invasion in a PHC patient are 89% and 92%, respectively (47).…”

Section: Discussionmentioning

confidence: 99%

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: Discussionmentioning

confidence: 99%

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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“…1). 9 According to a recent meta-analysis, the accuracy of ductal involvement of MDCT was 86%, 11 while…”

Section: 김소연 수술 전 영상학적 평가mentioning

confidence: 99%

“…12 It showed 84% sensitivity and 93% specificity to detect hepatic arterial involvement. 11 The accuracy for detection of portal vein has been reported as 87%. 13 Regarding lymph node metastasis, the sensitivity was 61% and the specificity was 88%.…”

Section: 김소연 수술 전 영상학적 평가mentioning

confidence: 99%

Preoperative Radiologic Evaluation of Cholangiocarcinoma

Kim

2017

Korean J Gastroenterol

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In patients with cholangiocarcinoma, surgical resection with curative intent is the only way to achieve cure. Since surgical resection of cholangiocarcinomas is technically demanding, determination of resectability and accurate preoperative staging are crucial. For these purposes, high quality imaging including multidetector computed tomography and magnetic resonance imaging with magnetic resonance cholangiopancreaticography, is mandatory. This article will present recent advances in imaging techniques for cholangiocarginomas, potential pitfalls in imaging evaluation, and a checklist for preoperative radiologic assessment of resectability in these patients with an emphasis on perihilar cholangiocarinoma. (Korean J Gastroenterol 2017;69:159-163)

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“…The lesion is usually hypoenhancing and may show enhancement in the delayed phase( Figure 9); occasionally it can enhance in arterial phase [30] . Intraductal papillary lesions show single or multiple intraluminal polypoidal soft tissue which show contrast enhancement and distend the lumen of the MDCT has an accuracy of about 86% in assessment of ductal extent of HiCC [28] . The sensitivity and specificity of MDCT in evaluation of portal vein, hepatic artery and lymph node involvement are 89% and 92%, 84% and 93%, and 61% and 88%, respectively.…”

Section: A B Cmentioning

confidence: 99%

Imaging and interventions in hilar cholangiocarcinoma: A review

Madhusudhan

Gamanagatti

Gupta

2015

WJR

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Hilar cholangiocarcinoma is a common malignant tumor of the biliary tree. It has poor prognosis with very low 5-year survival rates. Various imaging modalities are available for detection and staging of the hilar cholangiocarcinoma. Although ultrasonography is the initial investigation of choice, imaging with contrast enhanced computed tomography scan or magnetic resonance imaging is needed prior to management. Surgery is curative wherever possible. Radiological interventions play a role in operable patients in the form of biliary drainage and/or portal vein embolization. In inoperable cases, palliative interventions include biliary drainage, biliary stenting and intra-biliary palliative treatment techniques. Complete knowledge of application of various imaging modalities available and about the possible radiological interventions is important for a radiologist to play a critical role in appropriate management of such patients.We review the various imaging techniques and appearances of hilar cholangiocarcinoma and the possible radiological interventions. Core tip: Poor prognosis of hilar cholangiocarcinoma mandates early diagnosis. The article outlines the performance of various imaging modalities in making a diagnosis and allows the readers to decide the appropriately modality in a given case. Further, the brief descriptions of a wide range of radiological interventions in hilar cholangiocarcinoma educate the readers about the available options and choose them judiciously.

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Radiological staging in patients with hilar cholangiocarcinoma: a systematic review and meta-analysis

Cited by 138 publications

References 25 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

Preoperative Radiologic Evaluation of Cholangiocarcinoma

Imaging and interventions in hilar cholangiocarcinoma: A review

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