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Experience of Surgical Resection for Hilar Cholangiocarcinomas at a Japanese Single Cancer Institute
http://hdl.handle.net/10069/28628
http://hdl.handle.net/10069/28628b5ee3db6-7c78-4294-8f17-262affa28a22
名前 / ファイル | ライセンス | アクション |
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HepGas59_347.pdf (103.2 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2013-05-01 | |||||
タイトル | ||||||
タイトル | Experience of Surgical Resection for Hilar Cholangiocarcinomas at a Japanese Single Cancer Institute | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Hepatectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pancreatoduodenectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Hilar bile duct carcinoma radical resection | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Nanashima, Atsushi
× Nanashima, Atsushi× Tobinaga, Syuuichi× Abo, Takafumi× Machino, Ryusuke× Takeshita, Hiroaki× Nonaka, Takashi× Hidaka, Shigekazu× Tanaka, Kenji× Kunizaki, Masaki× Sawai, Terumitsu× Yasutake, Toru× Nagayasu, Takeshi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background/Aims: Surgical resection is a radical treatment option for hilar bile duct carcinoma (HBDC); however, it is still difficult to cure and postoperative morbidity is high at this stage. Methodology: We examined the demographics, surgical records and outcome in 38 patients with hilar cholangiocarcinoma undergoing operation. Results: Five patients (13%) underwent probe laparotomy because of peritoneal dissemination or liver metastasis. Of 33 patients, extended hemi-hepatectomy was performed in 32 patients. Postoperative complications were observed in 46% including hepatic failure in 3 and hospital death was observed in 4 patients. Advanced tumor stage more than stage III was observed in 23 patients. Curability of operation was A in 5 patients, B in 17 and C in 11 and postoperative adjuvant chemotherapy was administered in 24% including photodynamic therapy in 3. Tumor recurrence was observed in 41% of HBDC patients. The 3- and 5-year tumor-free survival was 38% and 10%, respectively and 3- and 5-year overall survival was 48% and 32%, respectively. By comparison with tumor stage or final curability, survival rates were not significantly different between groups. Conclusions: Surgical resection is still the only curative treatment option to improve patient survival even in advanced stage HBDC. |
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書誌情報 |
Hepato-gastroenterology 巻 59, 号 114, p. 347-350, 発行日 2012-03 |
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出版者 | ||||||
出版者 | H.G.E. Update Medical Publishing Ltd. | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 01726390 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00213244 | |||||
PubMed番号 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | PMID | |||||
関連識別子 | 22353497 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.5754/hge09718 | |||||
権利 | ||||||
権利情報 | © H.G.E. Update Medical Publishing S.A. | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Hepato-Gastroenterology, 59(114), pp.347-350; 2012 |