Intrahepatic cholangiocarcinoma: analysis of 44 consecutive resected cases including 5 cases with repeat resections.

Abstract:

BACKGROUND:Prognosis after resection for intrahepatic cholangiocarcinoma (ICC) remains unsatisfactory. There remains no effective therapy after recurrent ICC. OBJECTIVE:The current study sought to evaluate risk factors associated with recurrent ICC and possible therapies after resection. METHOD:A review of data from patients who underwent potentially curative resection for ICC was performed. RESULTS:A total of 44 potentially curative resections were performed from 1995 to 2008. Mortality was 0% and morbidity was 35%. The 5-year overall and recurrence-free survival rates were 43% and 39%, respectively. Multivariate analysis identified the presence of multiple nodules and poor histologic grade as independent negative prognostic factors for overall and recurrent-free survival. Postoperative recurrence occurred in 25 patients (57%). Solitary recurrence occurred in 5 patients (liver, n = 4; lung, n = 1), all of who had undergone surgical resection. Three of the 5 patients survived for more than 5 years after 2 resections. CONCLUSION:Prognosis after curative resection of solitary ICC appears favorable. In selected patients with sequential single hepatic or pulmonary recurrence, repeat resection may prolong survival.

journal_name

Am J Surg

authors

Saiura A,Yamamoto J,Kokudo N,Koga R,Seki M,Hiki N,Yamada K,Natori T,Yamaguchi T

doi

10.1016/j.amjsurg.2008.12.035

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

203-8

issue

2

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(09)00169-X

journal_volume

201

pub_type

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