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Role of the Surgical Method in Development of Postoperative Cholangiocarcinoma in Todani Type IV Bile Duct Cysts
المؤلفون المشاركون
Xia, Hong-tian
Yang, Tao
Liang, Bin
Zeng, Jian-ping
Dong, Jia-hong
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-07-09
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Our purpose was to investigate the association between the surgical approach for Todani type IV cysts and subsequent malignancy rate.
Methods.
The records of patients who received cyst excision from 1994 to 2013 were analyzed retrospectively for the following data: demographics, presenting symptoms, postoperative outcomes, malignant transformation, and follow-up reexaminations, including imaging, laboratory, and tumor marker tests.
Results.
Seven of the 196 patients initially treated at our hospital developed postoperative biliary malignancy, and the surgical approaches were extrahepatic bile duct cyst resection combined with hilar cholangioplasty and Roux-en-Y cystojejunostomy ( n = 5 ), and intra- and extrahepatic bile duct cyst resection and Roux-en-Y hepaticojejunostomy ( n = 2 ).
The overall malignancy rate was 3.6% (7/196).
Forty-eight patients initially treated at other hospitals developed malignancy postoperatively: 15 (31.2%) remained untreated and 33 (68.8%) had undergone incomplete resection procedures.
Because Todani type IV cysts were seen in 268 patients, the postoperative malignancy rate of this group of patients was 12.3% (33/268).
Conclusions.
Radical resection of both intra- and extrahepatic cysts combined with hepatic resection and Roux-en-Y hepaticojejunostomy is associated with a reduced risk of subsequent cancer development.
Procedures in which radical cyst excision is not performed are associated with a greater risk of subsequent malignancy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Xia, Hong-tian& Yang, Tao& Liang, Bin& Zeng, Jian-ping& Dong, Jia-hong. 2015. Role of the Surgical Method in Development of Postoperative Cholangiocarcinoma in Todani Type IV Bile Duct Cysts. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1063977
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Xia, Hong-tian…[et al.]. Role of the Surgical Method in Development of Postoperative Cholangiocarcinoma in Todani Type IV Bile Duct Cysts. Gastroenterology Research and Practice No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1063977
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Xia, Hong-tian& Yang, Tao& Liang, Bin& Zeng, Jian-ping& Dong, Jia-hong. Role of the Surgical Method in Development of Postoperative Cholangiocarcinoma in Todani Type IV Bile Duct Cysts. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1063977
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1063977
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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