Prognosis after resection for hepatitis B virus-associated intrahepatic cholangiocarcinoma
AIM:To investigate the prognostic factors after resection for hepatitis B virus(HBV)-associated intrahepatic cholangiocarcinoma(ICC) and to assess the impact of different extents of lymphadenectomy on patient survival.METHODS:A total of 85 patients with HBV-associated ICC who underwent curative rese...
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| Veröffentlicht in: | World journal of gastroenterology : WJG 2015-01, Vol.21 (3), p.935-943 |
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| creator | Wu, Zhen-Feng Wu, Xiao-Yu Zhu, Nan Xu, Zhe Li, Wei-Su Zhang, Hai-Bin Yang, Ning Yao, Xue-Quan Liu, Fu-Kun Yang, Guang-Shun |
| description | AIM:To investigate the prognostic factors after resection for hepatitis B virus(HBV)-associated intrahepatic cholangiocarcinoma(ICC) and to assess the impact of different extents of lymphadenectomy on patient survival.METHODS:A total of 85 patients with HBV-associated ICC who underwent curative resection from January 2005 to December 2006 were analyzed.The patients were classified into groups according to the extent of lymphadenectomy(no lymph node dissection,sampling lymph node dissection and regional lymph node dissection).Clinicopathological characteristics and survival were reviewed retrospectively.RESULTS:The cumulative 1-,3-,and 5-year survival rates were found to be 60 %,18 %,and 13 %,respectively.Multivariate analysis revealed that liver cirrhosis(HR = 1.875,95%CI:1.197-3.278,P = 0.008) and multiple tumors(HR = 2.653,95%CI:1.562-4.508,P < 0.001) were independent prognostic factors for survival.Recurrence occurred in 70 patients.The 1-,3-,and 5-year disease-free survival rates were 36%,3% and 0%,respectively.Liver cirrhosis(HR = 1.919,P = 0.012),advanced TNM stage(stage Ⅲ/Ⅳ)(HR = 2.027,P < 0.001),and vascular invasion(HR = 3.779,P = 0.02) were independent prognostic factors for disease-free survival.Patients with regional lymph node dissection demonstrated a similar survival rate to patients with sampling lymph node dissection.Lymphadenectomy did not significantly improve the survival rate of patients with negative lymph node status.CONCLUSION:The extent of lymphadenectomy does not seem to have influence on the survival of patients with HBV-associated ICC,and routine lymph nodedissection is not recommended,particularly for those without lymph node metastasis. |
| doi_str_mv | 10.3748/wjg.v21.i3.935 |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4299347</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cqvip_id>90888889504849534851485050</cqvip_id><sourcerecordid>1652413092</sourcerecordid><originalsourceid>FETCH-LOGICAL-c500t-ccddd581bc7c499fdc0369120212d2ea5982ecf2ac3b0f7f26134f2f961cddd63</originalsourceid><addsrcrecordid>eNpVkUFvEzEQRi1ERdPClSPaI5ddxmN7d31BggooUqVyaC9cLGfW3rhK1qm9CeLf4yghAkuWD_Pmm7EeY285NKKT_YdfT2OzR94E0WihXrAFItc19hJesgUH6GotsLtkVzk_AaAQCl-xS1Qtyg77Bfv5I8VxijnkyvrZpSq57GgOcap8TNXKbe0c5lL9XO1D2uXa5hwp2NkNVZjmZI8EVbSKazuNIZJNFKa4sa_Zhbfr7N6c3mv2-PXLw81tfXf_7fvNp7uaFMBcEw3DoHq-pI6k1n4gEK3mCMhxQGeV7tGRR0tiCb7z2HIhPXrd8kNnK67Zx2PudrfcuIHcYa212aawsem3iTaY_ytTWJkx7o1ErYXsSsD7U0CKzzuXZ7MJmdy6_MfFXTa8VSi5AI0FbY4opZhzcv48hoM5CDFFiClCTBCmCCkN7_5d7oz_NVAAcUpcxWl8DtN4ZjT0h6MVyF5qJWSveLmgQPwBnkiavQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1652413092</pqid></control><display><type>article</type><title>Prognosis after resection for hepatitis B virus-associated intrahepatic cholangiocarcinoma</title><source>MEDLINE</source><source>Baishideng "World Journal of" online journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Wu, Zhen-Feng ; Wu, Xiao-Yu ; Zhu, Nan ; Xu, Zhe ; Li, Wei-Su ; Zhang, Hai-Bin ; Yang, Ning ; Yao, Xue-Quan ; Liu, Fu-Kun ; Yang, Guang-Shun</creator><creatorcontrib>Wu, Zhen-Feng ; Wu, Xiao-Yu ; Zhu, Nan ; Xu, Zhe ; Li, Wei-Su ; Zhang, Hai-Bin ; Yang, Ning ; Yao, Xue-Quan ; Liu, Fu-Kun ; Yang, Guang-Shun</creatorcontrib><description>AIM:To investigate the prognostic factors after resection for hepatitis B virus(HBV)-associated intrahepatic cholangiocarcinoma(ICC) and to assess the impact of different extents of lymphadenectomy on patient survival.METHODS:A total of 85 patients with HBV-associated ICC who underwent curative resection from January 2005 to December 2006 were analyzed.The patients were classified into groups according to the extent of lymphadenectomy(no lymph node dissection,sampling lymph node dissection and regional lymph node dissection).Clinicopathological characteristics and survival were reviewed retrospectively.RESULTS:The cumulative 1-,3-,and 5-year survival rates were found to be 60 %,18 %,and 13 %,respectively.Multivariate analysis revealed that liver cirrhosis(HR = 1.875,95%CI:1.197-3.278,P = 0.008) and multiple tumors(HR = 2.653,95%CI:1.562-4.508,P &lt; 0.001) were independent prognostic factors for survival.Recurrence occurred in 70 patients.The 1-,3-,and 5-year disease-free survival rates were 36%,3% and 0%,respectively.Liver cirrhosis(HR = 1.919,P = 0.012),advanced TNM stage(stage Ⅲ/Ⅳ)(HR = 2.027,P &lt; 0.001),and vascular invasion(HR = 3.779,P = 0.02) were independent prognostic factors for disease-free survival.Patients with regional lymph node dissection demonstrated a similar survival rate to patients with sampling lymph node dissection.Lymphadenectomy did not significantly improve the survival rate of patients with negative lymph node status.CONCLUSION:The extent of lymphadenectomy does not seem to have influence on the survival of patients with HBV-associated ICC,and routine lymph nodedissection is not recommended,particularly for those without lymph node metastasis.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v21.i3.935</identifier><identifier>PMID: 25624728</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Adult ; Aged ; Bile Duct Neoplasms - mortality ; Bile Duct Neoplasms - pathology ; Bile Duct Neoplasms - surgery ; Bile Duct Neoplasms - virology ; Bile Ducts, Intrahepatic - pathology ; Bile Ducts, Intrahepatic - surgery ; Bile Ducts, Intrahepatic - virology ; Chi-Square Distribution ; Cholangiocarcinoma - mortality ; Cholangiocarcinoma - secondary ; Cholangiocarcinoma - surgery ; Cholangiocarcinoma - virology ; cholangiocarcinoma;Hepatitis ; Disease Progression ; Disease-Free Survival ; Female ; Hepatectomy - adverse effects ; Hepatectomy - mortality ; Hepatitis B - complications ; Hepatitis B - diagnosis ; Hepatitis B - mortality ; Humans ; Intrahepatic ; Lymph Node Excision - adverse effects ; Lymph Node Excision - mortality ; Lymphatic Metastasis ; Male ; Middle Aged ; Multivariate Analysis ; Neoplasm Recurrence, Local ; Neoplasm Staging ; Patient Selection ; Proportional Hazards Models ; Retrospective Studies ; Retrospective Study ; Risk Factors ; Time Factors ; Treatment Outcome ; virus</subject><ispartof>World journal of gastroenterology : WJG, 2015-01, Vol.21 (3), p.935-943</ispartof><rights>The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved. 2015</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-ccddd581bc7c499fdc0369120212d2ea5982ecf2ac3b0f7f26134f2f961cddd63</citedby><cites>FETCH-LOGICAL-c500t-ccddd581bc7c499fdc0369120212d2ea5982ecf2ac3b0f7f26134f2f961cddd63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299347/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299347/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25624728$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Zhen-Feng</creatorcontrib><creatorcontrib>Wu, Xiao-Yu</creatorcontrib><creatorcontrib>Zhu, Nan</creatorcontrib><creatorcontrib>Xu, Zhe</creatorcontrib><creatorcontrib>Li, Wei-Su</creatorcontrib><creatorcontrib>Zhang, Hai-Bin</creatorcontrib><creatorcontrib>Yang, Ning</creatorcontrib><creatorcontrib>Yao, Xue-Quan</creatorcontrib><creatorcontrib>Liu, Fu-Kun</creatorcontrib><creatorcontrib>Yang, Guang-Shun</creatorcontrib><title>Prognosis after resection for hepatitis B virus-associated intrahepatic cholangiocarcinoma</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>AIM:To investigate the prognostic factors after resection for hepatitis B virus(HBV)-associated intrahepatic cholangiocarcinoma(ICC) and to assess the impact of different extents of lymphadenectomy on patient survival.METHODS:A total of 85 patients with HBV-associated ICC who underwent curative resection from January 2005 to December 2006 were analyzed.The patients were classified into groups according to the extent of lymphadenectomy(no lymph node dissection,sampling lymph node dissection and regional lymph node dissection).Clinicopathological characteristics and survival were reviewed retrospectively.RESULTS:The cumulative 1-,3-,and 5-year survival rates were found to be 60 %,18 %,and 13 %,respectively.Multivariate analysis revealed that liver cirrhosis(HR = 1.875,95%CI:1.197-3.278,P = 0.008) and multiple tumors(HR = 2.653,95%CI:1.562-4.508,P &lt; 0.001) were independent prognostic factors for survival.Recurrence occurred in 70 patients.The 1-,3-,and 5-year disease-free survival rates were 36%,3% and 0%,respectively.Liver cirrhosis(HR = 1.919,P = 0.012),advanced TNM stage(stage Ⅲ/Ⅳ)(HR = 2.027,P &lt; 0.001),and vascular invasion(HR = 3.779,P = 0.02) were independent prognostic factors for disease-free survival.Patients with regional lymph node dissection demonstrated a similar survival rate to patients with sampling lymph node dissection.Lymphadenectomy did not significantly improve the survival rate of patients with negative lymph node status.CONCLUSION:The extent of lymphadenectomy does not seem to have influence on the survival of patients with HBV-associated ICC,and routine lymph nodedissection is not recommended,particularly for those without lymph node metastasis.</description><subject>Adult</subject><subject>Aged</subject><subject>Bile Duct Neoplasms - mortality</subject><subject>Bile Duct Neoplasms - pathology</subject><subject>Bile Duct Neoplasms - surgery</subject><subject>Bile Duct Neoplasms - virology</subject><subject>Bile Ducts, Intrahepatic - pathology</subject><subject>Bile Ducts, Intrahepatic - surgery</subject><subject>Bile Ducts, Intrahepatic - virology</subject><subject>Chi-Square Distribution</subject><subject>Cholangiocarcinoma - mortality</subject><subject>Cholangiocarcinoma - secondary</subject><subject>Cholangiocarcinoma - surgery</subject><subject>Cholangiocarcinoma - virology</subject><subject>cholangiocarcinoma;Hepatitis</subject><subject>Disease Progression</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Hepatectomy - adverse effects</subject><subject>Hepatectomy - mortality</subject><subject>Hepatitis B - complications</subject><subject>Hepatitis B - diagnosis</subject><subject>Hepatitis B - mortality</subject><subject>Humans</subject><subject>Intrahepatic</subject><subject>Lymph Node Excision - adverse effects</subject><subject>Lymph Node Excision - mortality</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Neoplasm Recurrence, Local</subject><subject>Neoplasm Staging</subject><subject>Patient Selection</subject><subject>Proportional Hazards Models</subject><subject>Retrospective Studies</subject><subject>Retrospective Study</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>virus</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUFvEzEQRi1ERdPClSPaI5ddxmN7d31BggooUqVyaC9cLGfW3rhK1qm9CeLf4yghAkuWD_Pmm7EeY285NKKT_YdfT2OzR94E0WihXrAFItc19hJesgUH6GotsLtkVzk_AaAQCl-xS1Qtyg77Bfv5I8VxijnkyvrZpSq57GgOcap8TNXKbe0c5lL9XO1D2uXa5hwp2NkNVZjmZI8EVbSKazuNIZJNFKa4sa_Zhbfr7N6c3mv2-PXLw81tfXf_7fvNp7uaFMBcEw3DoHq-pI6k1n4gEK3mCMhxQGeV7tGRR0tiCb7z2HIhPXrd8kNnK67Zx2PudrfcuIHcYa212aawsem3iTaY_ytTWJkx7o1ErYXsSsD7U0CKzzuXZ7MJmdy6_MfFXTa8VSi5AI0FbY4opZhzcv48hoM5CDFFiClCTBCmCCkN7_5d7oz_NVAAcUpcxWl8DtN4ZjT0h6MVyF5qJWSveLmgQPwBnkiavQ</recordid><startdate>20150121</startdate><enddate>20150121</enddate><creator>Wu, Zhen-Feng</creator><creator>Wu, Xiao-Yu</creator><creator>Zhu, Nan</creator><creator>Xu, Zhe</creator><creator>Li, Wei-Su</creator><creator>Zhang, Hai-Bin</creator><creator>Yang, Ning</creator><creator>Yao, Xue-Quan</creator><creator>Liu, Fu-Kun</creator><creator>Yang, Guang-Shun</creator><general>Baishideng Publishing Group Inc</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150121</creationdate><title>Prognosis after resection for hepatitis B virus-associated intrahepatic cholangiocarcinoma</title><author>Wu, Zhen-Feng ; Wu, Xiao-Yu ; Zhu, Nan ; Xu, Zhe ; Li, Wei-Su ; Zhang, Hai-Bin ; Yang, Ning ; Yao, Xue-Quan ; Liu, Fu-Kun ; Yang, Guang-Shun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-ccddd581bc7c499fdc0369120212d2ea5982ecf2ac3b0f7f26134f2f961cddd63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Bile Duct Neoplasms - mortality</topic><topic>Bile Duct Neoplasms - pathology</topic><topic>Bile Duct Neoplasms - surgery</topic><topic>Bile Duct Neoplasms - virology</topic><topic>Bile Ducts, Intrahepatic - pathology</topic><topic>Bile Ducts, Intrahepatic - surgery</topic><topic>Bile Ducts, Intrahepatic - virology</topic><topic>Chi-Square Distribution</topic><topic>Cholangiocarcinoma - mortality</topic><topic>Cholangiocarcinoma - secondary</topic><topic>Cholangiocarcinoma - surgery</topic><topic>Cholangiocarcinoma - virology</topic><topic>cholangiocarcinoma;Hepatitis</topic><topic>Disease Progression</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Hepatectomy - adverse effects</topic><topic>Hepatectomy - mortality</topic><topic>Hepatitis B - complications</topic><topic>Hepatitis B - diagnosis</topic><topic>Hepatitis B - mortality</topic><topic>Humans</topic><topic>Intrahepatic</topic><topic>Lymph Node Excision - adverse effects</topic><topic>Lymph Node Excision - mortality</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Neoplasm Recurrence, Local</topic><topic>Neoplasm Staging</topic><topic>Patient Selection</topic><topic>Proportional Hazards Models</topic><topic>Retrospective Studies</topic><topic>Retrospective Study</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>virus</topic><toplevel>online_resources</toplevel><creatorcontrib>Wu, Zhen-Feng</creatorcontrib><creatorcontrib>Wu, Xiao-Yu</creatorcontrib><creatorcontrib>Zhu, Nan</creatorcontrib><creatorcontrib>Xu, Zhe</creatorcontrib><creatorcontrib>Li, Wei-Su</creatorcontrib><creatorcontrib>Zhang, Hai-Bin</creatorcontrib><creatorcontrib>Yang, Ning</creatorcontrib><creatorcontrib>Yao, Xue-Quan</creatorcontrib><creatorcontrib>Liu, Fu-Kun</creatorcontrib><creatorcontrib>Yang, Guang-Shun</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Zhen-Feng</au><au>Wu, Xiao-Yu</au><au>Zhu, Nan</au><au>Xu, Zhe</au><au>Li, Wei-Su</au><au>Zhang, Hai-Bin</au><au>Yang, Ning</au><au>Yao, Xue-Quan</au><au>Liu, Fu-Kun</au><au>Yang, Guang-Shun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognosis after resection for hepatitis B virus-associated intrahepatic cholangiocarcinoma</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World Journal of Gastroenterology</addtitle><date>2015-01-21</date><risdate>2015</risdate><volume>21</volume><issue>3</issue><spage>935</spage><epage>943</epage><pages>935-943</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>AIM:To investigate the prognostic factors after resection for hepatitis B virus(HBV)-associated intrahepatic cholangiocarcinoma(ICC) and to assess the impact of different extents of lymphadenectomy on patient survival.METHODS:A total of 85 patients with HBV-associated ICC who underwent curative resection from January 2005 to December 2006 were analyzed.The patients were classified into groups according to the extent of lymphadenectomy(no lymph node dissection,sampling lymph node dissection and regional lymph node dissection).Clinicopathological characteristics and survival were reviewed retrospectively.RESULTS:The cumulative 1-,3-,and 5-year survival rates were found to be 60 %,18 %,and 13 %,respectively.Multivariate analysis revealed that liver cirrhosis(HR = 1.875,95%CI:1.197-3.278,P = 0.008) and multiple tumors(HR = 2.653,95%CI:1.562-4.508,P &lt; 0.001) were independent prognostic factors for survival.Recurrence occurred in 70 patients.The 1-,3-,and 5-year disease-free survival rates were 36%,3% and 0%,respectively.Liver cirrhosis(HR = 1.919,P = 0.012),advanced TNM stage(stage Ⅲ/Ⅳ)(HR = 2.027,P &lt; 0.001),and vascular invasion(HR = 3.779,P = 0.02) were independent prognostic factors for disease-free survival.Patients with regional lymph node dissection demonstrated a similar survival rate to patients with sampling lymph node dissection.Lymphadenectomy did not significantly improve the survival rate of patients with negative lymph node status.CONCLUSION:The extent of lymphadenectomy does not seem to have influence on the survival of patients with HBV-associated ICC,and routine lymph nodedissection is not recommended,particularly for those without lymph node metastasis.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>25624728</pmid><doi>10.3748/wjg.v21.i3.935</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Bile Duct Neoplasms - mortality Bile Duct Neoplasms - pathology Bile Duct Neoplasms - surgery Bile Duct Neoplasms - virology Bile Ducts, Intrahepatic - pathology Bile Ducts, Intrahepatic - surgery Bile Ducts, Intrahepatic - virology Chi-Square Distribution Cholangiocarcinoma - mortality Cholangiocarcinoma - secondary Cholangiocarcinoma - surgery Cholangiocarcinoma - virology cholangiocarcinoma Hepatitis Disease Progression Disease-Free Survival Female Hepatectomy - adverse effects Hepatectomy - mortality Hepatitis B - complications Hepatitis B - diagnosis Hepatitis B - mortality Humans Intrahepatic Lymph Node Excision - adverse effects Lymph Node Excision - mortality Lymphatic Metastasis Male Middle Aged Multivariate Analysis Neoplasm Recurrence, Local Neoplasm Staging Patient Selection Proportional Hazards Models Retrospective Studies Retrospective Study Risk Factors Time Factors Treatment Outcome virus |
| title | Prognosis after resection for hepatitis B virus-associated intrahepatic cholangiocarcinoma |
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