Extended right hemihepatectomy for gallbladder carcinoma involving the hepatic hilum
Background: Major hemihepatectomy for advanced gallbladder carcinoma remains controversial as it is associated with serious postoperative complications and poor prognosis. Methods: All those who underwent extended right hemihepatectomy were identified from a database of patients with gallbladder car...
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| Veröffentlicht in: | British journal of surgery 2011-01, Vol.98 (1), p.117-123 |
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| creator | Shimada, K. Nara, S. Esaki, M. Sakamoto, Y. Kosuge, T. Hiraoka, N. |
| description | Background:
Major hemihepatectomy for advanced gallbladder carcinoma remains controversial as it is associated with serious postoperative complications and poor prognosis.
Methods:
All those who underwent extended right hemihepatectomy were identified from a database of patients with gallbladder carcinoma who had surgical resection between 1999 and 2009. The clinicopathological data for these patients were analysed retrospectively.
Results:
A total of 126 patients underwent surgical resection, 35 of whom had extended right hemihepatectomy. There were no deaths, but 16 patients had complications. The mean(s.d.) duration of operation and blood loss were 564(206) min and 1472(1268) ml respectively. No blood transfusions were needed in 28 patients. Tumour stage (International Union Against Cancer, sixth edition) was IIA in four, IIB in four, III in 15 and IV in 12 patients. The overall 5‐year survival rate was 17 per cent with a median survival of 2·2 years. Three patients survived more than 5 years. The presence of hepatic metastases and gallbladder carcinoma originating from the cystic duct were indicators of poor prognosis.
Conclusion:
Extended right hemihepatectomy for gallbladder cancer is safe and may contribute to long‐term survival in selected patients. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Aggressive surgery may be valuable |
| doi_str_mv | 10.1002/bjs.7262 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_816528664</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>816528664</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4552-1c03285120516ce55c4f82325c466a45a4c087dc72482c840a8d129d3e587ab3</originalsourceid><addsrcrecordid>eNpF0ctOwzAQBVALgWh5SHwB8gaxSrHHsWOWPMujAkQrwc5yHbcxOEmxU6B_TwoFVncxZ2YxF6E9SnqUEDgav8ReBgLWUJcywROgQq6jLiEkSygD1kFbMb4QQhnhsIk6QJdMiC4aXXw2tsptjoObFg0ubOkKO9ONNU1dLvCkDniqvR97nec2YKODcVVdauyq99q_u2qKm8Li7x1ncOH8vNxBGxPto91d5TYaXV6Mzq6SwX3_-uxkkJiUc0ioIQwkp0A4FcZybtKJBAZtCqFTrlNDZJabDFIJRqZEy5zCcc4sl5kes210-HN2Fuq3uY2NKl001ntd2XoelaSCgxQibeX-Ss7Hpc3VLLhSh4X6_UMLDlZAR6P9JOjKuPjvmABOgLUu-XEfztvF35wStexBtT2oZQ_q9Ga4zH_vYmM__7wOr0pkLOPq6a6vhrcPVA6ez9Uj-wJ3iYgH</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>816528664</pqid></control><display><type>article</type><title>Extended right hemihepatectomy for gallbladder carcinoma involving the hepatic hilum</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Oxford University Press Journals All Titles (1996-Current)</source><creator>Shimada, K. ; Nara, S. ; Esaki, M. ; Sakamoto, Y. ; Kosuge, T. ; Hiraoka, N.</creator><creatorcontrib>Shimada, K. ; Nara, S. ; Esaki, M. ; Sakamoto, Y. ; Kosuge, T. ; Hiraoka, N.</creatorcontrib><description>Background:
Major hemihepatectomy for advanced gallbladder carcinoma remains controversial as it is associated with serious postoperative complications and poor prognosis.
Methods:
All those who underwent extended right hemihepatectomy were identified from a database of patients with gallbladder carcinoma who had surgical resection between 1999 and 2009. The clinicopathological data for these patients were analysed retrospectively.
Results:
A total of 126 patients underwent surgical resection, 35 of whom had extended right hemihepatectomy. There were no deaths, but 16 patients had complications. The mean(s.d.) duration of operation and blood loss were 564(206) min and 1472(1268) ml respectively. No blood transfusions were needed in 28 patients. Tumour stage (International Union Against Cancer, sixth edition) was IIA in four, IIB in four, III in 15 and IV in 12 patients. The overall 5‐year survival rate was 17 per cent with a median survival of 2·2 years. Three patients survived more than 5 years. The presence of hepatic metastases and gallbladder carcinoma originating from the cystic duct were indicators of poor prognosis.
Conclusion:
Extended right hemihepatectomy for gallbladder cancer is safe and may contribute to long‐term survival in selected patients. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Aggressive surgery may be valuable</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.7262</identifier><identifier>PMID: 21136566</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; Aged ; Bile Ducts, Extrahepatic - surgery ; Biological and medical sciences ; Blood Loss, Surgical - mortality ; Female ; Gallbladder Neoplasms - mortality ; Gallbladder Neoplasms - surgery ; General aspects ; Hepatectomy - methods ; Hepatectomy - mortality ; Humans ; Kaplan-Meier Estimate ; Liver Neoplasms - secondary ; Liver, biliary tract, pancreas, portal circulation, spleen ; Lymphatic Metastasis ; Male ; Medical sciences ; Middle Aged ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>British journal of surgery, 2011-01, Vol.98 (1), p.117-123</ispartof><rights>Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4552-1c03285120516ce55c4f82325c466a45a4c087dc72482c840a8d129d3e587ab3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fbjs.7262$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fbjs.7262$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,4024,27923,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23625023$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21136566$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shimada, K.</creatorcontrib><creatorcontrib>Nara, S.</creatorcontrib><creatorcontrib>Esaki, M.</creatorcontrib><creatorcontrib>Sakamoto, Y.</creatorcontrib><creatorcontrib>Kosuge, T.</creatorcontrib><creatorcontrib>Hiraoka, N.</creatorcontrib><title>Extended right hemihepatectomy for gallbladder carcinoma involving the hepatic hilum</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background:
Major hemihepatectomy for advanced gallbladder carcinoma remains controversial as it is associated with serious postoperative complications and poor prognosis.
Methods:
All those who underwent extended right hemihepatectomy were identified from a database of patients with gallbladder carcinoma who had surgical resection between 1999 and 2009. The clinicopathological data for these patients were analysed retrospectively.
Results:
A total of 126 patients underwent surgical resection, 35 of whom had extended right hemihepatectomy. There were no deaths, but 16 patients had complications. The mean(s.d.) duration of operation and blood loss were 564(206) min and 1472(1268) ml respectively. No blood transfusions were needed in 28 patients. Tumour stage (International Union Against Cancer, sixth edition) was IIA in four, IIB in four, III in 15 and IV in 12 patients. The overall 5‐year survival rate was 17 per cent with a median survival of 2·2 years. Three patients survived more than 5 years. The presence of hepatic metastases and gallbladder carcinoma originating from the cystic duct were indicators of poor prognosis.
Conclusion:
Extended right hemihepatectomy for gallbladder cancer is safe and may contribute to long‐term survival in selected patients. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Aggressive surgery may be valuable</description><subject>Adult</subject><subject>Aged</subject><subject>Bile Ducts, Extrahepatic - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood Loss, Surgical - mortality</subject><subject>Female</subject><subject>Gallbladder Neoplasms - mortality</subject><subject>Gallbladder Neoplasms - surgery</subject><subject>General aspects</subject><subject>Hepatectomy - methods</subject><subject>Hepatectomy - mortality</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Liver Neoplasms - secondary</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0ctOwzAQBVALgWh5SHwB8gaxSrHHsWOWPMujAkQrwc5yHbcxOEmxU6B_TwoFVncxZ2YxF6E9SnqUEDgav8ReBgLWUJcywROgQq6jLiEkSygD1kFbMb4QQhnhsIk6QJdMiC4aXXw2tsptjoObFg0ubOkKO9ONNU1dLvCkDniqvR97nec2YKODcVVdauyq99q_u2qKm8Li7x1ncOH8vNxBGxPto91d5TYaXV6Mzq6SwX3_-uxkkJiUc0ioIQwkp0A4FcZybtKJBAZtCqFTrlNDZJabDFIJRqZEy5zCcc4sl5kes210-HN2Fuq3uY2NKl001ntd2XoelaSCgxQibeX-Ss7Hpc3VLLhSh4X6_UMLDlZAR6P9JOjKuPjvmABOgLUu-XEfztvF35wStexBtT2oZQ_q9Ga4zH_vYmM__7wOr0pkLOPq6a6vhrcPVA6ez9Uj-wJ3iYgH</recordid><startdate>201101</startdate><enddate>201101</enddate><creator>Shimada, K.</creator><creator>Nara, S.</creator><creator>Esaki, M.</creator><creator>Sakamoto, Y.</creator><creator>Kosuge, T.</creator><creator>Hiraoka, N.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201101</creationdate><title>Extended right hemihepatectomy for gallbladder carcinoma involving the hepatic hilum</title><author>Shimada, K. ; Nara, S. ; Esaki, M. ; Sakamoto, Y. ; Kosuge, T. ; Hiraoka, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4552-1c03285120516ce55c4f82325c466a45a4c087dc72482c840a8d129d3e587ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bile Ducts, Extrahepatic - surgery</topic><topic>Biological and medical sciences</topic><topic>Blood Loss, Surgical - mortality</topic><topic>Female</topic><topic>Gallbladder Neoplasms - mortality</topic><topic>Gallbladder Neoplasms - surgery</topic><topic>General aspects</topic><topic>Hepatectomy - methods</topic><topic>Hepatectomy - mortality</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Liver Neoplasms - secondary</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shimada, K.</creatorcontrib><creatorcontrib>Nara, S.</creatorcontrib><creatorcontrib>Esaki, M.</creatorcontrib><creatorcontrib>Sakamoto, Y.</creatorcontrib><creatorcontrib>Kosuge, T.</creatorcontrib><creatorcontrib>Hiraoka, N.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shimada, K.</au><au>Nara, S.</au><au>Esaki, M.</au><au>Sakamoto, Y.</au><au>Kosuge, T.</au><au>Hiraoka, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extended right hemihepatectomy for gallbladder carcinoma involving the hepatic hilum</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>2011-01</date><risdate>2011</risdate><volume>98</volume><issue>1</issue><spage>117</spage><epage>123</epage><pages>117-123</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Background:
Major hemihepatectomy for advanced gallbladder carcinoma remains controversial as it is associated with serious postoperative complications and poor prognosis.
Methods:
All those who underwent extended right hemihepatectomy were identified from a database of patients with gallbladder carcinoma who had surgical resection between 1999 and 2009. The clinicopathological data for these patients were analysed retrospectively.
Results:
A total of 126 patients underwent surgical resection, 35 of whom had extended right hemihepatectomy. There were no deaths, but 16 patients had complications. The mean(s.d.) duration of operation and blood loss were 564(206) min and 1472(1268) ml respectively. No blood transfusions were needed in 28 patients. Tumour stage (International Union Against Cancer, sixth edition) was IIA in four, IIB in four, III in 15 and IV in 12 patients. The overall 5‐year survival rate was 17 per cent with a median survival of 2·2 years. Three patients survived more than 5 years. The presence of hepatic metastases and gallbladder carcinoma originating from the cystic duct were indicators of poor prognosis.
Conclusion:
Extended right hemihepatectomy for gallbladder cancer is safe and may contribute to long‐term survival in selected patients. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Aggressive surgery may be valuable</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>21136566</pmid><doi>10.1002/bjs.7262</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of surgery, 2011-01, Vol.98 (1), p.117-123 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Adult Aged Bile Ducts, Extrahepatic - surgery Biological and medical sciences Blood Loss, Surgical - mortality Female Gallbladder Neoplasms - mortality Gallbladder Neoplasms - surgery General aspects Hepatectomy - methods Hepatectomy - mortality Humans Kaplan-Meier Estimate Liver Neoplasms - secondary Liver, biliary tract, pancreas, portal circulation, spleen Lymphatic Metastasis Male Medical sciences Middle Aged Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Extended right hemihepatectomy for gallbladder carcinoma involving the hepatic hilum |
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