当前位置： SCI文献检索 > WORLD JOURNAL OF SURGERY期刊下所有文献 > Factors influencing postoperative hospital mortality and long-term survival after radical resection for stage IV gallbladder carcinoma.

Factors influencing postoperative hospital mortality and long-term survival after radical resection for stage IV gallbladder carcinoma.

Abstract：

:Factors influencing postoperative hospital mortality and long-term survival after radical resection of stage IV gallbladder carcinoma remain unclear. The objective of this study was to identify characteristics of patients who are good candidates in terms of surgical risk and long-term survival for radical resection of stage IV gallbladder carcinoma. A retrospective study was made of attempted surgical cure in 72 patients with stage IV gallbladder carcinoma. There were 14 postoperative hospital deaths (19%). Eleven (19%) of the 58 patients discharged from hospital survived for more than 3 years. Multivariate analysis indicated male gender, extended right hepatic lobectomy in a cholestatic liver, and portal vein resection as independent risk factors that correlated with hospital death. Distant metastasis was the sole independent factor that related negatively with long-term survival by multivariate analysis. Subset analysis was performed with combinations of the four independent factors obtained by multivariate analyses. The hospital mortality rate and the 3-year survival rate in the 44 patients without portal vein involvement were 9% and 28%, respectively, and were 3% and 27%, for the 31 women in this group. The highest 3-year survival rate (39%) was observed in the 26 patients without distant metastasis and portal vein involvement, despite a hospital mortality rate of 12%. Better patient selection may improve the outcome of radical surgery for stage IV gallbladder carcinoma. These data may be useful in designing future trials of the surgical treatment of advanced gallbladder carcinoma.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Kondo S,Nimura Y,Kamiya J,Nagino M,Kanai M,Uesaka K,Yuasa N,Sano T,Hayakawa N

doi

10.1007/s00268-002-6654-4

keywords:

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

272-7

issue

3

eissn

0364-2313

issn

1432-2323

journal_volume

27

pub_type

杂志文章

相关文献

WORLD JOURNAL OF SURGERY文献大全
  • Impact of Remnant Carcinoma in Situ at the Ductal Stump on Long-Term Outcomes in Patients with Distal Cholangiocarcinoma.

    abstract：BACKGROUND:The management of positive ductal margins with carcinoma in situ (R1-CIS) after resection is controversial. The aim of this study was to evaluate the impact of R1-CIS on survival in patients who underwent resection for distal cholangiocarcinoma. METHODS:We enrolled 121 consecutive patients with distal chola...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-020-05799-2

    authors： Yasukawa K,Shimizu A,Motoyama H,Kubota K,Notake T,Fukushima K,Ikehara T,Hayashi H,Kobayashi A,Soejima Y

    更新日期：2021-01-01 00:00:00

  • Metastatic endocrine tumors: medical treatment, surgical resection, or liver transplantation.

    abstract：:We reviewed our experience with 34 patients with metastatic endocrine tumors (METs) who were treated by different modalities. Eight patients were treated by chemotherapy or chemoembolization because of stable disease or surgical contraindications. Seventeen patients underwent curative or cytoreductive surgical resecti...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s002689900138

    authors： Dousset B,Saint-Marc O,Pitre J,Soubrane O,Houssin D,Chapuis Y

    更新日期：1996-09-01 00:00:00

  • Evolving Management of Zenker's Diverticulum in the Endoscopic Era: A North American Experience.

    abstract：BACKGROUND:Open surgical cricopharyngeal myotomy(CM) is considered standard of care for Zenker's diverticulum(ZD). Trans-oral CM has been described using a rigid stapling device for two decades; however, this remains problematic for severely kyphotic patients. This problem can be overcome with flexible endoscopy utiliz...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-016-3442-0

    authors： Jones D,Aloraini A,Gowing S,Cools-Lartigue J,Leimanis M,Tabah R,Ferri L

    更新日期：2016-06-01 00:00:00

  • Current strategies for surgical management and adjuvant treatment of childhood papillary thyroid carcinoma.

    abstract：:Childhood papillary thyroid carcinoma is associated with more locally aggressive and more frequent distant disease than its adult counterpart. Recurrence rates tend to be higher in children, but cause-specific mortality remains low. Optimal initial treatment of childhood papillary thyroid carcinoma should include tota...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s00268-004-7605-z

    authors： Thompson GB,Hay ID

    更新日期：2004-12-01 00:00:00

  • Total colectomy improves altered distribution of regulatory T cells in patients with ulcerative colitis.

    abstract：BACKGROUND:It is now generally believed that regulatory T cells (Tregs) play an important role in peripheral tolerance, and a defect in Tregs is considered one of the most important factors in the induction of various kinds of autoimmune disease including ulcerative colitis (UC). Here, we examined the change in frequen...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-005-0301-9

    authors： Furihata M,Sawada T,Okada T,Ishizuka M,Horie T,Takagi K,Nagata H,Kubota K

    更新日期：2006-04-01 00:00:00

  • Can SAPS II predict operative mortality more accurately than POSSUM and P-POSSUM in patients with colorectal carcinoma undergoing resection?

    abstract：BACKGROUND:This study assessed the APACHE II (Acute Physiology and Chronic Health Evaluation II), SAPS II (Simplified Acute Physiology Score-II), POSSUM (Physiologic and Operative Severity Score for Enumeration of Morbidity and Mortality), and P-POSSUM (Portsmouth-POSSUM) in patients with colorectal cancer undergoing c...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-007-9321-y

    authors： Can MF,Yagci G,Tufan T,Ozturk E,Zeybek N,Cetiner S

    更新日期：2008-04-01 00:00:00

  • Estimation of fat absorption with the 13C-trioctanoin breath test after pancreatoduodenectomy or pancreatic head resection.

    abstract：:The aim of this study was to determine if fat absorption is better after pylorus-preserving pancreatoduodenectomy (PPPD) or duodenum-preserving pancreatic head resection (DPPHR) compared with that following pancreatoduodenectomy with gastrectomy (SPD), provided the patients have similar pancreatic exocrine function. F...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s002689900156

    authors： Miyakawa S,Hayakawa M,Horiguchi A,Mizuno K,Ishihara S,Niwamoto N,Miura K

    更新日期：1996-10-01 00:00:00

  • The diagnostic challenge of postoperative acute appendicitis.

    abstract：:During the period 1979 to 1989, 0.1% of all cases of acute appendicitis at our institution occurred soon after another operative procedure. The interval between primary operation and appendectomy was 5 to 31 days (mean, 14 days). Signs and symptoms did not differ from those of classical acute appendicitis. Duration of...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/BF01675654

    authors： Barr D,van Heerden JA,Mucha P Jr

    更新日期：1991-07-01 00:00:00

  • Pattern of recurrence after extended radical esophagectomy with three-field lymph node dissection for squamous cell carcinoma in the thoracic esophagus.

    abstract：:Factors responsible for recurrence of esophageal cancer were investigated in 90 patients who underwent extended radical esophagectomy with three-field dissection for a squamous cell carcinoma in the thoracic esophagus. The initial tumor recurrence was grouped as either locoregional (site of the primary tumor, anastomo...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s002689900228

    authors： Bhansali MS,Fujita H,Kakegawa T,Yamana H,Ono T,Hikita S,Toh Y,Fujii T,Tou U,Shirouzu K

    更新日期：1997-03-01 00:00:00

  • Primary hyperaldosteronism secondary to unilateral adrenal hyperplasia: an unusual cause of surgically correctable hypertension. A review of 30 cases.

    abstract：INTRODUCTION:Unilateral adrenal hyperplasia (UAH) is a rare, surgically correctable cause of primary hyperaldosteronism (PH). We report 2 cases and review the literature for cases of PH secondary to UAH successfully treated via surgery. METHODS:Two cases of UAH treated at our institution were retrospectively reviewed....

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s00268-005-0594-8

    authors： Goh BK,Tan YH,Chang KT,Eng PH,Yip SK,Cheng CW

    更新日期：2007-01-01 00:00:00

  • Bloodless liver resection using the monopolar floating ball plus ligasure diathermy: preliminary results of 16 liver resections.

    abstract：:Blood loss during liver transection and ischemia-reperfusion injury associated with hepatic inflow occlusion are significant drawbacks during liver surgery. Sixteen patients underwent liver resection using the Monopolar Floating Ball (FB) plus LigaSure (LS) diathermy without occlusion of the hepatoduodenal ligament (g...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-003-7167-5

    authors： Sakamoto Y,Yamamoto J,Kokudo N,Seki M,Kosuge T,Yamaguchi T,Muto T,Makuuchi M

    更新日期：2004-02-01 00:00:00

  • Intraoperative blood loss is a critical risk factor for peritoneal recurrence after curative resection of advanced gastric cancer.

    abstract：BACKGROUND:Perioperative blood transfusion has been shown to be associated with poor outcome in various types of malignancy. However, the relationship between the amount of blood loss and specific types of cancer recurrence has not been documented. METHODS:We retrospectively examined the amount of intraoperative blood...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-009-9979-4

    authors： Kamei T,Kitayama J,Yamashita H,Nagawa H

    更新日期：2009-06-01 00:00:00

  • Geographic Variation Immediate and Delayed Breast Reconstruction Utilization in Ontario, Canada and Plastic Surgeon Availability: A Population-Based Observational Study.

    abstract：BACKGROUND:Utilization of breast reconstruction (BR) is low in many jurisdictions. We studied the geographical and surgical workforce factors that contribute to access and use of BR using a small area analysis approach with a geographical unit of analysis. METHODS:We linked administrative data from Ontario Canada to c...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-015-3060-2

    authors： Platt J,Zhong T,Moineddin R,Booth GL,Easson AM,Fernandes K,Gozdyra P,Baxter NN

    更新日期：2015-08-01 00:00:00

  • Risk Factors for Postoperative Ascites in Patients Undergoing Liver Resection for Hepatocellular Carcinoma.

    abstract：BACKGROUND:Postoperative ascites is a common complication after liver resection. This study aimed to identify the risk factors for ascites in patients after liver resection and the relationship between postoperative ascites and other complications. METHODS:We retrospectively analyzed data that were obtained from 266 p...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-017-4003-x

    authors： Yoshikawa T,Nomi T,Hokuto D,Yasuda S,Kawaguchi C,Yamada T,Kanehiro H,Nakajima Y

    更新日期：2017-08-01 00:00:00

  • Outcomes After Urgent Thyroidectomy Following Rapid Control of Thyrotoxicosis in Graves' Disease are Similar to Those After Elective Surgery in Well-Controlled Disease.

    abstract：BACKGROUND:Surgery for Graves' disease (GD) is usually performed after adequate control with medical treatment. Occasionally, rapid pre-operative optimization is required. The primary objective was to compare the outcomes of patients undergoing elective surgery for well-controlled GD with those undergoing rapid pre-ope...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-019-05125-5

    authors： Ali A,Debono M,Balasubramanian SP

    更新日期：2019-12-01 00:00:00

  • Prospective study of calcium homeostasis after renal transplantation.

    abstract：:Nineteen consecutive patients receiving renal transplants underwent prospective evaluation of their calcium homeostasis for 1 year after transplantation to characterize indices of hyperparathyroidism (HPT) amelioration. All but one underwent dialysis, and six had vitamin D supplementation before grafting. The rapid fa...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s002689900446

    authors： Claesson K,Hellman P,Frödin L,Rastad J

    更新日期：1998-06-01 00:00:00

  • Changes in quality of life after lung surgery in old and young patients: are they similar?

    abstract：BACKGROUND:The aim of the study was to compare the changes in health-related quality of life (QOL) after lung surgery between young and old patients. METHODS:We performed a prospective, population-based, cohort study to investigate health-related QOL before and 6 months after lung surgery. We used the validated instru...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-010-0430-7

    authors： Möller A,Sartipy U

    更新日期：2010-04-01 00:00:00

  • Impact of EMG Changes in Continuous Vagal Nerve Monitoring in High-Risk Endocrine Neck Surgery.

    abstract：BACKGROUND:Continuous vagal intraoperative neuromonitoring (CIONM) of the recurrent laryngeal nerve (RLN) may reduce the risk of RLN lesions during high-risk endocrine neck surgery such as operation for large goiter potentially requiring transsternal surgery, advanced thyroid cancer, and recurrence. METHODS:Fifty-five...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-015-3368-y

    authors： Brauckhoff K,Vik R,Sandvik L,Heimdal JH,Aas T,Biermann M,Brauckhoff M

    更新日期：2016-03-01 00:00:00

  • The incidence of bilateral well-differentiated thyroid cancer found at completion thyroidectomy.

    abstract：:The purpose of this study was to evaluate the surgical outcome of completion thyroidectomy in patients with presumed unilateral well-differentiated thyroid cancer (WDTC). The medical records of all patients having had unilateral thyroid lobectomy for WDTC, who subsequently underwent completion thyroidectomy, were revi...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/BF02067365

    authors： Pasieka JL,Thompson NW,McLeod MK,Burney RE,Macha M

    更新日期：1992-07-01 00:00:00

  • Evidence for the role of perioperative PTH measurement after total thyroidectomy as a predictor of hypocalcemia.

    abstract：BACKGROUND:Total thyroidectomy is now accepted worldwide as the standard surgical procedure for the management of benign bilateral nodular thyroid disease. Hypocalcemia is the most common complication of that procedure and a variety of strategies for diagnosing and managing post-thyroidectomy hypocalcemia have been adv...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s00268-008-9545-5

    authors： Grodski S,Serpell J

    更新日期：2008-07-01 00:00:00

  • Loop ileostomy closure: comparison of cost effectiveness between suture and stapler.

    abstract：BACKGROUND:Closure of loop ileostomy can be safely performed using sutures or staplers. The aim of the present study was to compare the cost effectiveness of three different techniques. METHODS:A total of 128 consecutive patients who underwent closure of loop ileostomy between January 2002 and December 2008 were analy...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-010-0787-7

    authors： Horisberger K,Beldi G,Candinas D

    更新日期：2010-12-01 00:00:00

  • Selection criteria for hepatectomy in patients with hepatocellular carcinoma classified as Child-Pugh class B.

    abstract：BACKGROUND:The appropriate surgical approach for hepatocellular carcinoma (HCC) patients of Child-Pugh class B is unclear. The aim of this study was to clarify the prognostic factors after hepatectomy in Child-Pugh class B patients and to delineate the selection criteria for hepatectomy. METHODS:One hundred fifty pati...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-010-0929-y

    authors： Kuroda S,Tashiro H,Kobayashi T,Oshita A,Amano H,Ohdan H

    更新日期：2011-04-01 00:00:00

  • Functional Advantages of Proximal Gastrectomy with Jejunal Interposition Over Total Gastrectomy with Roux-en-Y Esophagojejunostomy for Early Gastric Cancer.

    abstract：BACKGROUND:The postoperative functional advantages of a proximal gastrectomy over a total gastrectomy remain debatable. The aim of this study was to evaluate the functional outcomes of a proximal gastrectomy with jejunal interposition (PG-JI), compared with those for a total gastrectomy with Roux-en-Y esophagojejunosto...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-015-3180-8

    authors： Ohashi M,Morita S,Fukagawa T,Oda I,Kushima R,Katai H

    更新日期：2015-11-01 00:00:00

  • Withanolides are potent novel targeted therapeutic agents against adrenocortical carcinomas.

    abstract：BACKGROUND:Adrenocortical carcinoma (ACC) is a rare and aggressive malignancy with poor prognosis, as a majority of patients present with advanced disease. Current adjuvant strategies for metastatic patients include mitotane or other cytotoxic agents and carry a significant morbidity as well as a low (<10 %) 5-year sur...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-014-2532-0

    authors： Subramanian C,Zhang H,Gallagher R,Hammer G,Timmermann B,Cohen M

    更新日期：2014-06-01 00:00:00

  • Intraperitoneal gossypibomas: the need to count sponges.

    abstract：:Intraperitoneal forgotten foreign bodies are prone to create adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of self-extrusion is initiated. This is also true for gossypibomas, retained surgical sponges. Presentation is possible as a ...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s002689910084

    authors： Lauwers PR,Van Hee RH

    更新日期：2000-05-01 00:00:00

  • Predictors and Survival of Patients with Osteosarcoma After Limb Salvage versus Amputation: A Population-Based Analysis with Propensity Score Matching.

    abstract：BACKGROUND:Conflicting findings have been reported concerning the survival of patients treated with limb salvage and amputation for osteosarcoma. This study aimed to identify predictors associated with surgery types and survival difference. METHODS:Patients with osteosarcoma were selected from the Surveillance Epidemi...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-020-05471-9

    authors： Qi L,Ren X,Liu Z,Li S,Zhang W,Chen R,Chen C,Tu C,Li Z

    更新日期：2020-07-01 00:00:00

  • Evidence-based assessment of the role of ultrasonography in the management of benign thyroid nodules.

    abstract：BACKGROUND:Although ultrasonographic (US) evaluation is currently recommended for the workup of all palpable thyroid nodules, little guidance exists regarding the manner in which US data are to be used. Herein, we examine the available evidence and recommend how US can be used most effectively to predict malignancy. We...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s00268-008-9494-z

    authors： Morris LF,Ragavendra N,Yeh MW

    更新日期：2008-07-01 00:00:00

  • Gastroschisis and omphalocele.

    abstract：:It has been widely acknowledged that exomphalos and gastroschisis are two different clinical entities. Their etiology and pathogenesis, however, remain controversial. Several techniques are available for making a prenatal diagnosis of these as well as many other malformations. Some prenatal treatment is possible, but ...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/BF01658701

    authors： Molenaar JC,Tibboel D

    更新日期：1993-05-01 00:00:00

  • Management of mandibular fractures in a developing country: a review of 314 cases from two urban centers in Nigeria.

    abstract：BACKGROUND:This study was designed to establish the current demographic and treatment patterns of mandibular fractures in two urban centers (Lagos University Teaching Hospital, Lagos, and National Hospital, Abuja) in Nigeria. METHODS:All cases of mandibular fractures diagnosed and treated at the Department of Oral and...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-008-9773-8

    authors： Adeyemo WL,Iwegbu IO,Bello SA,Okoturo E,Olaitan AA,Ladeinde AL,Ogunlewe MO,Adepoju AA,Taiwo OA

    更新日期：2008-12-01 00:00:00

  • Increased platelet counts after transthoracic en bloc resection for esophageal cancer is associated with significantly improved survival.

    abstract：BACKGROUND:We analyzed perioperative platelet counts as a potential clinical marker for survival after transthoracic en bloc resection for esophageal cancer. Recent data described preoperative thrombocytosis in malignancies to be associated with poor prognosis. METHODS:A retrospective analysis from a prospective datab...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-010-0707-x

    authors： Ling FC,Vallböhmer D,Hoelscher AH,Schmidt D,Bollschweiler E,Schneider PM

    更新日期：2010-11-01 00:00:00