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Comparison of postoperative complications and long-term oncological outcomes in minimally invasive versus open pancreatoduodenectomy for distal cholangiocarcinoma: A propensity score-matched analysis

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dc.contributor.author강창무-
dc.contributor.author김성현-
dc.contributor.author이우정-
dc.contributor.author황호경-
dc.date.accessioned2022-05-09T17:02:15Z-
dc.date.available2022-05-09T17:02:15Z-
dc.date.issued2022-03-
dc.identifier.issn1868-6974-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/188346-
dc.description.abstractBackground: Pancreatoduodenectomy (PD) is the only curative therapy for distal cholangiocarcinoma (dCC). There has been no study to compare outcomes between minimally invasive pancreatoduodenectomy (MIPD) and open pancreatoduodenectomy (OPD) for dCC. The aim of the study is to compare the two operation types for dCC in terms of postoperative and oncologic outcomes. Methods: Data from 426 patients who underwent MIPD (n = 91) or OPD (n = 335) for dCC from January 2012 to December 2019 at two tertiary hospitals were retrospectively reviewed. After 1:2 propensity score matching, postoperative and oncologic outcomes were compared. Results: Minimally invasive pancreatoduodenectomy group showed more favorable results than OPD group in terms of blood loss (MIPD vs OPD, 250 [150-400] vs 400 [200-600], mL, P < .001), and length of hospital stay (19.8 ± 11.3 vs 26.6 ± 14.3 days, P < .001). OPD group showed more favorable results than MIPD group in terms of operation time (MIPD vs OPD, 457 ± 70 vs 398 ± 85 min, P < .001) and harvested lymph nodes (14.9 ± 7.8 vs 20.7 ± 11.5, P < .001). There was no statistical difference between the two groups in the R0 resection rate and complications. In long-term survival analysis, there was no significant difference between the two groups. Conclusion: Minimally invasive pancreatoduodenectomy showed comparable postoperative complications and long-term oncologic survival with OPD in the treatment of dCC.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherWiley Japan-
dc.relation.isPartOfJOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHBile Duct Neoplasms* / surgery-
dc.subject.MESHBile Ducts, Intrahepatic-
dc.subject.MESHCholangiocarcinoma* / surgery-
dc.subject.MESHHumans-
dc.subject.MESHLaparoscopy* / adverse effects-
dc.subject.MESHPancreaticoduodenectomy / adverse effects-
dc.subject.MESHPancreaticoduodenectomy / methods-
dc.subject.MESHPostoperative Complications / etiology-
dc.subject.MESHPropensity Score-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.titleComparison of postoperative complications and long-term oncological outcomes in minimally invasive versus open pancreatoduodenectomy for distal cholangiocarcinoma: A propensity score-matched analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorSung Hyun Kim-
dc.contributor.googleauthorBoram Lee-
dc.contributor.googleauthorHo Kyoung Hwang-
dc.contributor.googleauthorJun Suh Lee-
dc.contributor.googleauthorHo-Seong Han-
dc.contributor.googleauthorWoo Jung Lee-
dc.contributor.googleauthorYoo-Seok Yoon-
dc.contributor.googleauthorChang Moo Kang-
dc.identifier.doi10.1002/jhbp.1067-
dc.contributor.localIdA00088-
dc.contributor.localIdA04529-
dc.contributor.localIdA02993-
dc.contributor.localIdA04497-
dc.relation.journalcodeJ01440-
dc.identifier.eissn1868-6982-
dc.identifier.pmid34717038-
dc.identifier.urlhttps://onlinelibrary.wiley.com/doi/10.1002/jhbp.1067-
dc.subject.keyworddistal cholangiocarcinoma-
dc.subject.keywordminimally invasive surgical procedure-
dc.subject.keywordpancreatoduodenectomy-
dc.subject.keywordpostoperative complications-
dc.subject.keywordsurvival-
dc.contributor.alternativeNameKang, Chang Moo-
dc.contributor.affiliatedAuthor강창무-
dc.contributor.affiliatedAuthor김성현-
dc.contributor.affiliatedAuthor이우정-
dc.contributor.affiliatedAuthor황호경-
dc.citation.volume29-
dc.citation.number3-
dc.citation.startPage329-
dc.citation.endPage337-
dc.identifier.bibliographicCitationJOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, Vol.29(3) : 329-337, 2022-03-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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