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dc.contributor.author이현국-
dc.contributor.author민석기-
dc.contributor.author이희성-
dc.date.accessioned2018-12-14T16:31:12Z-
dc.date.available2018-12-14T16:31:12Z-
dc.date.issued2018-
dc.identifier.issn2288-6575-
dc.identifier.otherOAK-22449-
dc.identifier.urihttps://dspace.ewha.ac.kr/handle/2015.oak/247843-
dc.description.abstractPurpose: To compare survival outcomes between bile duct segmental resection (BDR) and pancreatoduodenectomy (PD) for the treatment of middle and distal bile duct cancer. Methods: From 1997 to 2013, a total of 96 patients who underwent curative intent surgery for middle and distal bile duct cancer were identified. The patients were divided into 2 groups based on the type of operation; 20 patients were included in the BDR group and 76 patients were in the PD group. We retrospectively reviewed the clinical outcomes. Results: The number of lymph nodes (LNs) was significantly greater in patients within the PD group compared to the BDR group. The total number of LNs was 6.5 ± 8.2 vs. 11.2 ± 8.2 (P = 0.017) and the number of metastatic LNs was 0.4 ± 0.9 vs. 1.0 ± 1.5 (P = 0.021), respectively. After a median follow-up period of 24 months (range, 4-169 months), the recurrence-free survival of the PD group was superior to that of the BDR group (P = 0.035). In the patients with LN metastases, the patients undergoing PD had significantly better survival than the BDR group (P < 0.001). Conclusion: Surgeons should be cautious in deciding to perform BDR for middle and distal common bile duct cancer. PD is recommended if LN metastases are suspected. © 2018, the Korean Surgical Society.-
dc.languageEnglish-
dc.publisherKorean Surgical Society-
dc.subjectCholangiocarcinoma-
dc.subjectCommon bile duct neoplasms-
dc.subjectPancreaticoduodenectomy-
dc.subjectRecurrence-
dc.subjectSurvival-
dc.titleBile duct segmental resection versus pancreatoduodenectomy for middle and distal common bile duct cancer-
dc.typeArticle-
dc.relation.issue5-
dc.relation.volume94-
dc.relation.indexSCIE-
dc.relation.indexSCOPUS-
dc.relation.indexKCI-
dc.relation.startpage240-
dc.relation.lastpage246-
dc.relation.journaltitleAnnals of Surgical Treatment and Research-
dc.identifier.doi10.4174/astr.2018.94.5.240-
dc.identifier.wosidWOS:000431832500004-
dc.identifier.scopusid2-s2.0-85046452430-
dc.author.googleKim N.-
dc.author.googleLee H.-
dc.author.googleMin S.K.-
dc.author.googleLee H.K.-
dc.contributor.scopusid이현국(8861888600)-
dc.contributor.scopusid민석기(8938656500)-
dc.contributor.scopusid이희성(56019344700)-
dc.date.modifydate20210708161256-
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의과대학 > 의학과 > Journal papers
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