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Liver Resection for Bismuth Type I and Type II Hilar Cholangiocarcinoma

 Jin Hong Lim  ;  Gi Hong Choi  ;  Sung Hoon Choi  ;  Kyung Sik Kim  ;  Jin Sub Choi  ;  Woo Jung Lee 
 World Journal of Surgery, Vol.37(4) : 829-837, 2013 
Journal Title
 World Journal of Surgery 
Issue Date
Aged ; Bile Duct Neoplasms/mortality ; Bile Duct Neoplasms/surgery* ; Bile Ducts, Intrahepatic/surgery* ; Cholangiocarcinoma/mortality ; Cholangiocarcinoma/surgery* ; Female ; Hepatectomy* ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Neoplasm Recurrence, Local/epidemiology ; Operative Time ; Postoperative Complications/epidemiology ; Retrospective Studies ; Survival Rate ; Treatment Outcome
Bile Duct ; Liver Resection ; Portal Vein Embolization ; Hilar Cholangiocarcinoma ; Bile Duct Resection
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.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Lim, Jin Hong(임진홍)
Choi, Gi Hong(최기홍) ORCID logo https://orcid.org/0000-0002-1593-3773
Choi, Sung Hoon(최성훈)
Choi, Jin Sub(최진섭)
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