Short-term and long-term prognosis analysis of anatomical liver resection for the treatment of perihilar cholangiocarcinoma
10.3781/j.issn.1000-7431.2023.2304-0216
- VernacularTitle:解剖性肝切除术治疗肝门部胆管癌的短期与远期预后分析
- Author:
Xianghao YE
1
;
Zhipeng LIU
;
Haisu DAI
;
Yi GONG
;
Hao LI
;
Zhihua LONG
;
Wei WANG
;
Yuhan XIA
;
Shujie PANG
;
Longfei CHEN
;
Xingchao LIU
;
Haining FAN
;
Jie BAI
;
Yan JIANG
;
Zhiyu CHEN
Author Information
1. 陆军军医大学第一附属医院(重庆西南医院)全军肝胆外科研究所,重庆 400038
- Keywords:
Perihilar cholangiocarcinoma;
Anatomical liver resection;
Short-term prognosis;
Long-term prognosis;
Complication
- From:
Tumor
2023;43(6):506-515
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the short-term and long-term prognostic outcomes of anatomical liver resection(AR)for patients with perihilar cholangio-carcinoma. Methods:This is a retrospective study.All data were obtained from 4 centers,including The First Affiliated Hospital of Army Medical University,Eastern Hepatobiliary Hospital of Naval Medical University,Sichuan Provincial People's Hospital and Affiliated Hospital of Qinghai University,of a multi-center database.A total of 305 consecutive perihilar cholangiocarcinoma patients receiving radical resection between January 2013 and June 2021 were included in this study.According to the method of liver resection,all patients were divided into the AR group(n=205)and the non-anatomical liver resection(NAR)group(n=100).The baseline characteristics,short-term prognosis and long-term prognosis of the 2 groups were compared. Results:The perioperative transfusion rate and the 30-day complication rate were significantly lower in the AR group than those in the NAR group(P＜0.05).There was no statistically significant difference in the survival rates between the AR and the NAR groups(P＞0.05). Conclusion:The 2 hepatic resection modalities had no obvious effect on the long-term prognosis of perihilar cholangiocarcinoma patients after radical resection,but choosing AR tends to achieve a better short-term prognosis and is worth promoting in clinical practice.
