A predictive risk score model of textbook outcome for patients undergoing curative-intent resection of intrahepatic cholangiocarcinoma
10.19538/j.cjps.issn1005-2208.2019.10.19
- Author:
Zheng-qing LEI
1
;
An-feng SI
;
Ping-hua YANG
;
Zhang-jun CHENG
1
Author Information
1. Hepato-pancreatobiliary Center,Zhongda Hospital,School of Medicine,Southeast University Nanjing 210009,China
- Publication Type:Journal Article
- Keywords:
intrahepatic cholangiocarcinoma;
hepatectomy;
textbook outcome;
influencing factors;
risk score
- From:
Chinese Journal of Practical Surgery
2019;39(10):1071-1076
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE: To determine the risk factors and develop a risk score model for the textbook outcome(TO)among patients undergoing curative-intent resection of intrahepatic cholangiocarcinoma(ICC).METHODS: Theclinicopathological data of 261 ICC patients between January 2011 and January 2017 in Zhongda Hospital of SoutheastUniversity and No.81 Hospital of PLA undergoing partial hepatectomy were retrospectively collected. Logistic regressionanalyses were performed to determine the significant risk factors for predicting TO.RESULTS: A total of 261 patientsundergoing curative-intent resection of ICC were enrolled in the study. Among them,TO was achieved in 67 patients(25.7%). A multivariable logistic regression analysis indicated that older age,non-cirrhosis,reduced operative duration,and T1 a stage disease were independently associated with achieving a TO. A risk score to assess the probability of TOwas developed according the above four risk factors and had good accuracy and satisfactory calibration(χ~2=1.350,P=0.853).CONCLUSION: Younger ICC patients with short operation duration,no cirrhosis,and tumor diameter <5 cm mayhave the higher probability to achieve TO. The risk score model could accurately predict postoperative TO of patientswith ICC.
