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Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma
Joint Authors
Alizai, Patrick H.
Bruners, P.
Kuhl, C. K.
Ulmer, Florian
Andert, A.
Heidenhain, C.
Binnebösel, M.
Neumann, Ulf P.
Klink, Christian D.
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-16
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
The purpose of this study was to analyse the value of 3-dimensional computed tomography cholangiography (3D-ERC) compared to conventional retrograde cholangiography in the preoperative diagnosis of hilar cholangiocarcinoma (HC) with special regard to the resection margin status (R0/R1).
Patients and Methods.
All hepatic resections performed between January 2011 and November 2013 in patients with HC at the Department of General, Visceral and Transplant Surgery of the RWTH Aachen University Hospital were analysed.
All patients underwent an ERC and contrast-enhanced multiphase CT scan or a 3D-ERC.
Results.
The patient collective was divided into two groups (group ERC: n=17 and group 3D-ERC: n=16).
There were no statistically significant differences between the two groups with regard to patient characteristics or intraoperative data.
Curative liver resection with R0 status was reached in 88% of patients in group ERC and 87% of patients in group 3D-ERC (p=1.00).
We could not observe any differences with regard to postoperative complications, hospital stay, and mortality rate between both groups.
Conclusion.
Based on our findings, preoperative imaging with 3D-ERC has no benefit for operative planning and R0 resection status.
It cannot replace the exploration by an experienced surgeon in a centre for hepatobiliary surgery.
American Psychological Association (APA)
Andert, A.& Bruners, P.& Heidenhain, C.& Ulmer, Florian& Klink, Christian D.& Alizai, Patrick H.…[et al.]. 2017. Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1156206
Modern Language Association (MLA)
Andert, A.…[et al.]. Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma. Gastroenterology Research and Practice No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1156206
American Medical Association (AMA)
Andert, A.& Bruners, P.& Heidenhain, C.& Ulmer, Florian& Klink, Christian D.& Alizai, Patrick H.…[et al.]. Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1156206
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156206