Detailed Abstract
[BP Poster Presentation 3 - Biliary Disease/Surgery]
[P075] Is segmental resection sufficient for the treatment of extrahepatic cholangiocarcinoma?
Sunjong HAN1, Seong Ho CHOI2, Dong Wook CHOI2, Jin Seok HEO2, In Woong HAN2, Yung Hun YOU2, DaeJoon PARK2, Youngju RYU2
1Departments of Surgery, Seoul National University Bundang Hospital , Korea
2Departments of Surgery, Samsung Medical Center Sungkyunkwan University College of Medicine, Korea, Korea
Introduction : The long-term outcomes following segmental resection (SR) and pancreaticoduodenectomy (PD) for extrahepatic cholangiocarcinoma (EHCCC) have shown discrepancies in previous studies. We conducted this study to compare the outcomes of EHCCC after curative resection using a propensity-score matching analysis.
Methods : From November 1994 to December 2012, a total of 650 patients underwent SR or PD without liver resection for EHCCC in our institution. Among them, 403 patients achieved R0 resection and were divided into SR (n=115) and PD (n=387) groups. One-to-one propensity score matching was performed to minimize the effects of potential confounders.
Results : From November 1994 to December 2012, a total of 650 patients underwent SR or PD without liver resection for EHCCC in our institution. Among them, 403 patients achieved R0 resection and were divided into SR (n=115) and PD (n=387) groups. One-to-one propensity score matching was performed to minimize the effects of potential confounders.
Conclusions : PD is recommended in EHCCC for better oncologic outcomes. And in patients underwent SR due to poor general performance, more aggressive nodal dissection is required for accurate staging and improved outcome.
Methods : From November 1994 to December 2012, a total of 650 patients underwent SR or PD without liver resection for EHCCC in our institution. Among them, 403 patients achieved R0 resection and were divided into SR (n=115) and PD (n=387) groups. One-to-one propensity score matching was performed to minimize the effects of potential confounders.
Results : From November 1994 to December 2012, a total of 650 patients underwent SR or PD without liver resection for EHCCC in our institution. Among them, 403 patients achieved R0 resection and were divided into SR (n=115) and PD (n=387) groups. One-to-one propensity score matching was performed to minimize the effects of potential confounders.
Conclusions : PD is recommended in EHCCC for better oncologic outcomes. And in patients underwent SR due to poor general performance, more aggressive nodal dissection is required for accurate staging and improved outcome.
SESSION
BP Poster Presentation 3
Poster / Exhibition Hall and Lobby(2F) 3/31/2018 3:10 PM - 3:50 PM