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Factors predicting surgical resection in patients with intrahepatic cholangiocarcinoma and cirrhosis.
- Source :
-
Journal of investigative surgery : the official journal of the Academy of Surgical Research [J Invest Surg] 2014 Aug; Vol. 27 (4), pp. 219-25. Date of Electronic Publication: 2014 Jan 29. - Publication Year :
- 2014
-
Abstract
- Here, we investigate the potential factors that affect the outcome of patients with intrahepatic cholangiocarcinomas (ICC) and cirrhosis. We retrospectively reviewed the clinical data and pathological features of 58 patients with ICC and cirrhosis who underwent liver resection between July 2000 and March 2008, and analyzed the prognostic risk factors by means of univariate and multivariate analyses. The overall morbidity and mortality were 40% and 3.3%, respectively. The overall median survival was 24 months, and the 1-, 3-, and 5-year actuarial survival rates were 53%, 18%, and 10%, respectively. Univariate analysis showed that Child-Pugh classification, hypoalbuminemia, vascular invasion, lymphnodes metastasis, tumor-nodes-metastasis (TNM) staging system, positive surgical margins, and high perioperative blood transfusion volumes were all significantly associated with poor survival. Multivariate analysis confirmed that hypoalbuminemia, vascular invasion, positive surgical margins, and high perioperative blood transfusion volume were survival related, with hazard ratios (HR) of 2.58, 3.12, 3.57, and 1.98, respectively. Surgical resection is an effective treatment for patients affected by ICC and cirrhosis. Predictive factors, including hypoalbuminemia, vascular invasion, positive surgical margins, and high perioperative blood transfusion volumes are all related to poor survival.
- Subjects :
- Adult
Aged
Aged, 80 and over
Bile Duct Neoplasms pathology
Bile Duct Neoplasms surgery
Bile Ducts, Intrahepatic pathology
Bile Ducts, Intrahepatic surgery
China epidemiology
Cholangiocarcinoma pathology
Cholangiocarcinoma surgery
Female
Hepatectomy mortality
Humans
Liver Cirrhosis pathology
Liver Cirrhosis surgery
Male
Middle Aged
Retrospective Studies
Bile Duct Neoplasms complications
Bile Duct Neoplasms mortality
Cholangiocarcinoma complications
Cholangiocarcinoma mortality
Liver pathology
Liver Cirrhosis complications
Liver Cirrhosis mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1521-0553
- Volume :
- 27
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of investigative surgery : the official journal of the Academy of Surgical Research
- Publication Type :
- Academic Journal
- Accession number :
- 24476002
- Full Text :
- https://doi.org/10.3109/08941939.2014.880138