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Liver Resection for Bismuth Type I and Type II Hilar Cholangiocarcinoma

Title
Liver Resection for Bismuth Type I and Type II Hilar Cholangiocarcinoma
Authors
Jin Hong Lim;Gi Hong Choi;Woo Jung Lee;Jin Sub Choi;Kyung Sik Kim;Sung Hoon Choi
Issue Date
2013
Journal Title
World Journal of Surgery
ISSN
0364-2313
Citation
World Journal of Surgery, Vol.37(4) : 829~837, 2013
Abstract
BACKGROUND: In patients with Bismuth type I and II hilar cholangiocarcinoma (HCCA), bile duct resection alone has been the conventional approach. However, many authors have reported that concomitant liver resection improved surgical outcomes. METHODS: Between January 2000 and January 2012, 52 patients underwent surgical resection for a Bismuth type I and II HCCA (type I: n = 22; type II: n = 30). Patients were classified into two groups: concomitant liver resection (n = 26) and bile duct resection alone (n = 26). RESULTS: Bile duct resection alone was performed in 26 patients. Concomitant liver resection was performed in 26 patients (right side hepatectomy [n = 13]; left-side hepatectomy [n = 6]; volume-preserving liver resection [n = 7]). All liver resections included a caudate lobectomy. Patient and tumor characteristics did not differ between the two groups. Although concomitant liver resection required longer operating time (P < 0.001), it had a similar postoperative complication rate (P = 0.764), high curability (P = 0.010), and low local recurrence rate (P = 0.006). Concomitant liver resection showed better overall survival (P = 0.047). CONCLUSIONS: Concomitant liver resection should be considered in patients with Bismuth type I and II HCCA.
URI
http://link.springer.com/article/10.1007%2Fs00268-013-1909-9

http://ir.ymlib.yonsei.ac.kr/handle/22282913/87022
DOI
10.1007/s00268-013-1909-9
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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