Clinicopathological aspects of high bile duct cancer. Experience with resection and bypass surgical treatments.

Abstract:

:This report reviews the experience of the Hepatobiliary Unit, Royal Postgraduate Medical School, Hammersmith Hospital, London with 16 patients having proximal extrahepatic bile duct malignancy who underwent resection and a comparable group of 15 patients who had surgical bypass. The purposes of the review were to evaluate morbidity and mortality in both treatment groups, to assess whether either treatment influenced the natural history of the disease, and to examine the pathological features of the resected lesions, attempting to correlate the macroscopic and microscopic features with radiological and surgical observations and survival. The presenting symptoms, average age, clinical data, and length of hospital stay were similar in both groups. Hospital mortality, despite 12 major liver resections, was less in the resectional than in the bypass group--19% versus 26%. The average survival for resectional patients was 16.5 months with six of the 13 patients who left hospital still alive, one at 5 years. The bypass patients lived an average of 7 months with no patients surviving beyond 11 months. Both resectional and bypass treatments appeared to influence survival in this disease with greater length and quality of survival being associated with resection. While there were a number of distinctive pathological features associated with the resected tumors, none correlated with survival.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Beazley RM,Hadjis N,Benjamin IS,Blumgart LH

doi

10.1097/00000658-198406000-00001

subject

Has Abstract

pub_date

1984-06-01 00:00:00

pages

623-36

issue

6

eissn

0003-4932

issn

1528-1140

journal_volume

199

pub_type

杂志文章
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    pub_type: 杂志文章,评审

    doi:10.1097/00000658-199810000-00017

    authors: Urschel HC Jr,Razzuk MA

    更新日期:1998-10-01 00:00:00

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    doi:10.1097/00000658-199104000-00003

    authors: Longaker MT,Chiu ES,Adzick NS,Stern M,Harrison MR,Stern R

    更新日期:1991-04-01 00:00:00

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    doi:10.1097/00000658-198408000-00007

    authors: Byrne P,Provan JL,Ameli FM,Jones DP

    更新日期:1984-08-01 00:00:00

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    pub_type: 临床试验,杂志文章

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    authors: Sano K,Makuuchi M,Miki K,Maema A,Sugawara Y,Imamura H,Matsunami H,Takayama T

    更新日期:2002-08-01 00:00:00

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    更新日期:2006-05-01 00:00:00

  • Explaining the Paradoxical Age-based Racial Disparities in Survival After Trauma: The Role of the Treating Facility.

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    更新日期:2015-07-01 00:00:00

  • Combined Mechanical and Oral Antibiotic Bowel Preparation Reduces Incisional Surgical Site Infection and Anastomotic Leak Rates After Elective Colorectal Resection: An Analysis of Colectomy-Targeted ACS NSQIP.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001041

    authors: Scarborough JE,Mantyh CR,Sun Z,Migaly J

    更新日期:2015-08-01 00:00:00

  • A prospective, randomized, controlled trial of preoperative transarterial chemoembolization for resectable large hepatocellular carcinoma.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0b013e3181961c16

    authors: Zhou WP,Lai EC,Li AJ,Fu SY,Zhou JP,Pan ZY,Lau WY,Wu MC

    更新日期:2009-02-01 00:00:00

  • Simultaneous and sequential determinations of steroid hormone receptors in human breast cancer. Influence of intervening therapy.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198503000-00008

    authors: Jakesz R,Dittrich C,Hanusch J,Kolb R,Lenzhofer R,Moser K,Rainer H,Reiner G,Schemper M,Spona J

    更新日期:1985-03-01 00:00:00

  • Gastrointestinal adaptation following small bowel bypass for obesity.

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    pub_type: 杂志文章

    doi:10.1097/00000658-197706000-00005

    authors: Dudrick SJ,Daly JM,Castro G,Akhtar M

    更新日期:1977-06-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002769

    authors: McIsaac DI,Wong CA,Huang A,Moloo H,van Walraven C

    更新日期:2019-07-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199308000-00012

    authors: Hassink EA,Rieu PN,Severijnen RS,vd Staak FH,Festen C

    更新日期:1993-08-01 00:00:00

  • Lymphoma of the breast.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198112000-00015

    authors: Schouten JT,Weese JL,Carbone PP

    更新日期:1981-12-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002668

    authors: Shi S,Hua J,Liang C,Meng Q,Liang D,Xu J,Ni Q,Yu X

    更新日期:2019-05-01 00:00:00

  • Analysis of injury in complex organ preservation.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197412000-00008

    authors: Weinerth JL,Abbott WM

    更新日期:1974-12-01 00:00:00

  • A New Scoring System to Predict Recurrent Disease in Grade 1 and 2 Nonfunctional Pancreatic Neuroendocrine Tumors.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002123

    authors: Genç CG,Jilesen AP,Partelli S,Falconi M,Muffatti F,van Kemenade FJ,van Eeden S,Verheij J,van Dieren S,van Eijck CHJ,Nieveen van Dijkum EJM

    更新日期:2018-06-01 00:00:00

  • Surgery for caustic injuries of the upper gastrointestinal tract.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3182583fb2

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  • Experience with 100 consecutive simultaneous kidney-pancreas transplants with bladder drainage.

    abstract::From December 1985 to December 1989, 100 consecutive simultaneous pancreas-kidney (SPK) transplants were performed at the University of Wisconsin Hospital and Clinics. Bladder drainage technique was used for all grafts. One- and three-year patient survival was 93% and 90%; kidney survival, 90% and 85%; and pancreas su...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199112000-00010

    authors: Sollinger HW,Knechtle SJ,Reed A,D'Alessandro AM,Kalayoglu M,Belzer FO,Pirsch J

    更新日期:1991-12-01 00:00:00

  • The role of antiplatelet drugs in carotid reconstructive surgery.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198506000-00014

    authors: Edwards WH,Edwards WH Jr,Mulherin JL Jr,Jenkins JM

    更新日期:1985-06-01 00:00:00

  • Subtotal versus total gastrectomy for gastric cancer: five-year survival rates in a multicenter randomized Italian trial. Italian Gastrointestinal Tumor Study Group.

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    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    authors: Bozzetti F,Marubini E,Bonfanti G,Miceli R,Piano C,Gennari L

    更新日期:1999-08-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001854

    authors: Gorgun E,Lan BY,Aydinli HH,Reed GW,Menon V,Sessler DI,Stocchi L,Remzi FH

    更新日期:2016-10-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000658-198702000-00017

    authors: Van Damme H,Vaneerdeweg W,Schoofs E

    更新日期:1987-02-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000658-199802000-00011

    authors: Kashiwagi M,Friess H,Uhl W,Graber H,Duarte R,Zimmermann A,Büchler MW

    更新日期:1998-02-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.sla.0000189607.38763.c5

    authors: Morino M,Rimonda R,Allaix ME,Giraudo G,Garrone C

    更新日期:2005-12-01 00:00:00

  • Fetal wound healing. The ontogeny of scar formation in the non-human primate.

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    pub_type: 杂志文章

    doi:10.1097/00000658-199304000-00011

    authors: Lorenz HP,Whitby DJ,Longaker MT,Adzick NS

    更新日期:1993-04-01 00:00:00

  • Influence of modest endotoxemia on postoperative antithrombin deficiency and circulating secretory immunoglobulin a levels.

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    doi:10.1097/01.sla.0000082711.77096.71

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    pub_type: 杂志文章

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    doi:10.1097/00000658-197512000-00019

    authors: McCombs PR,Berkowitz HD,Roberts B

    更新日期:1975-12-01 00:00:00

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    doi:10.1097/00000658-197903000-00008

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