Indications for resection of recurrent lesions in patients with distal cholangiocarcinoma based on prognostic factors: a single-institute retrospective study and brief literature review
Abstract Background To evaluate the effectiveness of surgery for recurrent distal cholangiocarcinoma and determine surgical indications based on prognostic factors for the recurrence of distal cholangiocarcinoma. Methods We analysed the outcomes of 101 patients who underwent surgical resection for d...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-022-01879-3 |
| _version_ | 1797980247511007232 |
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| author | Taro Mashiko Toshihito Ogasawara Yoshihito Masuoka Shigenori Ei Shinichiro Takahashi Masaki Mori Kazuo Koyanagi Seiichiro Yamamoto Toshio Nakagohri |
| author_facet | Taro Mashiko Toshihito Ogasawara Yoshihito Masuoka Shigenori Ei Shinichiro Takahashi Masaki Mori Kazuo Koyanagi Seiichiro Yamamoto Toshio Nakagohri |
| author_sort | Taro Mashiko |
| collection | DOAJ |
| description | Abstract Background To evaluate the effectiveness of surgery for recurrent distal cholangiocarcinoma and determine surgical indications based on prognostic factors for the recurrence of distal cholangiocarcinoma. Methods We analysed the outcomes of 101 patients who underwent surgical resection for distal cholangiocarcinoma between 2000 and 2018. The clinicopathological factors and prognosis of primary and recurrent distal cholangiocarcinoma were investigated. Results Of the 101 patients with resected distal cholangiocarcinoma, 52 (51.5%) had relapsed. Seven (13.5%) and 45 patients (86.5%) underwent resection of recurrent lesions and palliative therapy, respectively. There were no major complications requiring therapeutic intervention after metastasectomy. The median overall survival in patients with and without surgery for recurrent lesions was 83.0 (0.0–185.6) and 34 months (19.0–49.0), respectively. Therefore, patients who had undergone surgery for recurrent lesions had a significantly better prognosis (p = 0.022). Multivariate analyses of recurrent distal cholangiocarcinoma revealed that recurrence within one year was an independent predictor of poor survival. Resection of recurrent lesions improved prognosis. Conclusions Radical resection in recurrent distal cholangiocarcinoma may improve the prognosis in selected patients. Although time to recurrence is considered an important factor, the small number of cases of recurrence and resection of recurrent lesions in this study makes it difficult to conclude which patients are best suited for resection of recurrent lesions. This issue requires clarification in a multicentre prospective study, considering patients’ background, such as the recurrence site and number of metastases. |
| first_indexed | 2024-04-11T05:51:31Z |
| format | Article |
| id | doaj.art-cec060adc6004815a7f0fea4e5cb6ded |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-11T05:51:31Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-cec060adc6004815a7f0fea4e5cb6ded2022-12-22T04:42:03ZengBMCBMC Surgery1471-24822022-12-0122111210.1186/s12893-022-01879-3Indications for resection of recurrent lesions in patients with distal cholangiocarcinoma based on prognostic factors: a single-institute retrospective study and brief literature reviewTaro Mashiko0Toshihito Ogasawara1Yoshihito Masuoka2Shigenori Ei3Shinichiro Takahashi4Masaki Mori5Kazuo Koyanagi6Seiichiro Yamamoto7Toshio Nakagohri8Department of Gastroenterological Surgery, Tokai University School of MedicineDepartment of Gastroenterological Surgery, Tokai University School of MedicineDepartment of Gastroenterological Surgery, Tokai University School of MedicineDepartment of Gastroenterological Surgery, Tokai University School of MedicineDepartment of Gastroenterological Surgery, Tokai University School of MedicineDepartment of Gastroenterological Surgery, Tokai University School of MedicineDepartment of Gastroenterological Surgery, Tokai University School of MedicineDepartment of Gastroenterological Surgery, Tokai University School of MedicineDepartment of Gastroenterological Surgery, Tokai University School of MedicineAbstract Background To evaluate the effectiveness of surgery for recurrent distal cholangiocarcinoma and determine surgical indications based on prognostic factors for the recurrence of distal cholangiocarcinoma. Methods We analysed the outcomes of 101 patients who underwent surgical resection for distal cholangiocarcinoma between 2000 and 2018. The clinicopathological factors and prognosis of primary and recurrent distal cholangiocarcinoma were investigated. Results Of the 101 patients with resected distal cholangiocarcinoma, 52 (51.5%) had relapsed. Seven (13.5%) and 45 patients (86.5%) underwent resection of recurrent lesions and palliative therapy, respectively. There were no major complications requiring therapeutic intervention after metastasectomy. The median overall survival in patients with and without surgery for recurrent lesions was 83.0 (0.0–185.6) and 34 months (19.0–49.0), respectively. Therefore, patients who had undergone surgery for recurrent lesions had a significantly better prognosis (p = 0.022). Multivariate analyses of recurrent distal cholangiocarcinoma revealed that recurrence within one year was an independent predictor of poor survival. Resection of recurrent lesions improved prognosis. Conclusions Radical resection in recurrent distal cholangiocarcinoma may improve the prognosis in selected patients. Although time to recurrence is considered an important factor, the small number of cases of recurrence and resection of recurrent lesions in this study makes it difficult to conclude which patients are best suited for resection of recurrent lesions. This issue requires clarification in a multicentre prospective study, considering patients’ background, such as the recurrence site and number of metastases.https://doi.org/10.1186/s12893-022-01879-3Distal cholangiocarcinomaPrognostic factorsSurgery for recurrence |
| spellingShingle | Taro Mashiko Toshihito Ogasawara Yoshihito Masuoka Shigenori Ei Shinichiro Takahashi Masaki Mori Kazuo Koyanagi Seiichiro Yamamoto Toshio Nakagohri Indications for resection of recurrent lesions in patients with distal cholangiocarcinoma based on prognostic factors: a single-institute retrospective study and brief literature review BMC Surgery Distal cholangiocarcinoma Prognostic factors Surgery for recurrence |
| title | Indications for resection of recurrent lesions in patients with distal cholangiocarcinoma based on prognostic factors: a single-institute retrospective study and brief literature review |
| title_full | Indications for resection of recurrent lesions in patients with distal cholangiocarcinoma based on prognostic factors: a single-institute retrospective study and brief literature review |
| title_fullStr | Indications for resection of recurrent lesions in patients with distal cholangiocarcinoma based on prognostic factors: a single-institute retrospective study and brief literature review |
| title_full_unstemmed | Indications for resection of recurrent lesions in patients with distal cholangiocarcinoma based on prognostic factors: a single-institute retrospective study and brief literature review |
| title_short | Indications for resection of recurrent lesions in patients with distal cholangiocarcinoma based on prognostic factors: a single-institute retrospective study and brief literature review |
| title_sort | indications for resection of recurrent lesions in patients with distal cholangiocarcinoma based on prognostic factors a single institute retrospective study and brief literature review |
| topic | Distal cholangiocarcinoma Prognostic factors Surgery for recurrence |
| url | https://doi.org/10.1186/s12893-022-01879-3 |
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