Evaluation of different staging methods on radical resection rate and prognosis of patients with hilar cholangiocarcinoma
10.3760/cma.j.issn.1007-8118.2019.11.008
- VernacularTitle: 不同分期方法在肝门部胆管癌根治性切除率及患者预后中的评估价值
- Author:
Qi XIN
1
;
Xiaoyuan YU
2
;
Xingkai LIU
3
;
Ping ZHANG
3
Author Information
1. Department of General Surgery, Xi'an No. 3 Hospital, Xi'an 710016, China
2. Department of Blood Oncology, the First Bethune Hospital of Jilin University, Changchun 130021, China
3. Department of Hepatobiliary Surgery, the First Bethune Hospital of Jilin University, Changchun 130021, China
- Publication Type:Journal Article
- Keywords:
Bile duct neoplasms;
Prognosis;
Bismuth-Corlette typing system;
Modified T-staging system;
Mayo staging system;
Hilar cholangiocarcinoma;
Radical resection
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(11):828-833
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the Bismuth-Corlette typing, modified T-staging and Mayo staging system in predicting the radical resection rates and prognosis of patients with hilar cholangiocarcinoma (HCC).
Methods:The clinical data of 138 patients with hilar cholangiocarcinoma treated in the First Bethune Hospital of Jilin University were retrospectively analyzed. Three different staging methods were used.
Results:With increase in the classification level of the Bismuth-Corlette classification, the radical resection rate did not significantly decrease (P>0.05). The radical resection rates of stage T1, T2 and T3 in the modified T-staging system were 60.0% (27/45), 36.0% (10/28) and 14.0% (9/65) respectively (all P<0.05). The radical resection rates of patients in the stages I, II, III, IV of the Mayo Staging System were 86.0% (12/14), 50.0% (14/28), 29.0% (19/66) and 3/0% (1/30) respectively (all P<0.05). The overall survival time were no significant differences between the different Bismuth-Corlette and the modified T-staging system patients (P>0.05). However, there were significant differences among the survival rates in the various tumor staging levels using the Mayo Staging System.
Conclusions:The modified T-staging system and the Mayo staging system were more accurate than the Bismuth-Corlette typing system in predicting radical resection rates in patients with hilar cholangiocarcinoma. The Mayo staging system was superior to the Bismuth-Corlette typing system and the modified T-staging system in predicting prognosis of patients with hilar cholangiocarcinoma.
