A Comparison Between the Prognosis of Simultaneous and Salvage Radical Resection in Incidental Gallbladder Cancer
Shilin He,1,* Tunan Yu,1,* Parikshit Asutosh Khadaroo,2,3 Liuxin Cai,1 Yeyuan Chu,4 Fangqiang Wei,5 Xiao Liang1 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 2Monash University, S...
Ausführliche Beschreibung
Autor*in: |
He S [verfasserIn] Yu T [verfasserIn] Khadaroo PA [verfasserIn] Cai L [verfasserIn] Chu Y [verfasserIn] Wei F [verfasserIn] Liang X [verfasserIn] |
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Englisch |
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2020 |
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Übergeordnetes Werk: |
In: Cancer Management and Research - Dove Medical Press, 2009, (2020), Seite 13469-13478 |
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Übergeordnetes Werk: |
year:2020 ; pages:13469-13478 |
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Katalog-ID: |
DOAJ06130008X |
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(DE-627)DOAJ06130008X (DE-599)DOAJb3fd7a57ebc14811ae50352fd4e20ad7 DE-627 ger DE-627 rakwb eng RC254-282 He S verfasserin aut A Comparison Between the Prognosis of Simultaneous and Salvage Radical Resection in Incidental Gallbladder Cancer 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Shilin He,1,* Tunan Yu,1,* Parikshit Asutosh Khadaroo,2,3 Liuxin Cai,1 Yeyuan Chu,4 Fangqiang Wei,5 Xiao Liang1 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 2Monash University, School of Medicine, Nursing and Health Sciences, Melbourne, Australia; 3School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 4School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People’s Republic of China; 5Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiao LiangDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou, Zhejiang Province, People’s Republic of ChinaTel/Fax +86-571-8600-6605Email srrshlxzju.edu.cnPurpose: Incidental gallbladder cancer (IGBC) is defined as gallbladder cancer (GBC) that is accidentally discovered during cholecystectomy to treat benign lesions. We aimed to compare the prognosis of IGBC patients who underwent simultaneous radical resection (SIR) vs salvage radical resection (SAR).Patients and Methods: We retrospectively reviewed data for IGBC patients admitted to Sir Run Run Shaw Hospital from January 2000 to May 2016. Survival analysis was performed using Kaplan–Meier (univariate) and COX regression (multivariate) analyses.Results: Eighty-four patients with IGBC underwent radical resection; 43/84 underwent SIR, and 41/84 underwent SAR. Compared with SIR, the SAR group was more likely to receive comprehensive preoperative radiographic evaluation, port-site excision, and have more lymph nodes excised (all P < 0.05). Kaplan–Meier analysis indicated that the prognosis in the SAR group was better than that in SIR (overall survival: P = 0.050, recurrence-free survival: P = 0.028). Regression analysis indicated that the type of radical resection (SIR/SAR) was not an independent prognostic factor (overall survival: P = 0.737, recurrence-free survival: P = 0.957).Conclusion: Patients undergoing SAR had non-inferior survival compared with SIR. It is possible that patients in SAR underwent preoperative radiographical evaluations more comprehensively and the surgical operations were more well performed.Keywords: incidental gallbladder carcinoma, simultaneous surgery, salvage surgery, prognosis incidental gallbladder carcinoma simultaneous surgery salvage surgery prognosis Neoplasms. Tumors. Oncology. Including cancer and carcinogens Yu T verfasserin aut Khadaroo PA verfasserin aut Cai L verfasserin aut Chu Y verfasserin aut Wei F verfasserin aut Liang X verfasserin aut In Cancer Management and Research Dove Medical Press, 2009 (2020), Seite 13469-13478 (DE-627)606030840 (DE-600)2508013-1 11791322 nnns year:2020 pages:13469-13478 https://doaj.org/article/b3fd7a57ebc14811ae50352fd4e20ad7 kostenfrei https://www.dovepress.com/a-comparison-between-the-prognosis-of-simultaneous-and-salvage-radical-peer-reviewed-article-CMAR kostenfrei https://doaj.org/toc/1179-1322 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2020 13469-13478 |
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(DE-627)DOAJ06130008X (DE-599)DOAJb3fd7a57ebc14811ae50352fd4e20ad7 DE-627 ger DE-627 rakwb eng RC254-282 He S verfasserin aut A Comparison Between the Prognosis of Simultaneous and Salvage Radical Resection in Incidental Gallbladder Cancer 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Shilin He,1,* Tunan Yu,1,* Parikshit Asutosh Khadaroo,2,3 Liuxin Cai,1 Yeyuan Chu,4 Fangqiang Wei,5 Xiao Liang1 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 2Monash University, School of Medicine, Nursing and Health Sciences, Melbourne, Australia; 3School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 4School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People’s Republic of China; 5Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiao LiangDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou, Zhejiang Province, People’s Republic of ChinaTel/Fax +86-571-8600-6605Email srrshlxzju.edu.cnPurpose: Incidental gallbladder cancer (IGBC) is defined as gallbladder cancer (GBC) that is accidentally discovered during cholecystectomy to treat benign lesions. We aimed to compare the prognosis of IGBC patients who underwent simultaneous radical resection (SIR) vs salvage radical resection (SAR).Patients and Methods: We retrospectively reviewed data for IGBC patients admitted to Sir Run Run Shaw Hospital from January 2000 to May 2016. Survival analysis was performed using Kaplan–Meier (univariate) and COX regression (multivariate) analyses.Results: Eighty-four patients with IGBC underwent radical resection; 43/84 underwent SIR, and 41/84 underwent SAR. Compared with SIR, the SAR group was more likely to receive comprehensive preoperative radiographic evaluation, port-site excision, and have more lymph nodes excised (all P < 0.05). Kaplan–Meier analysis indicated that the prognosis in the SAR group was better than that in SIR (overall survival: P = 0.050, recurrence-free survival: P = 0.028). Regression analysis indicated that the type of radical resection (SIR/SAR) was not an independent prognostic factor (overall survival: P = 0.737, recurrence-free survival: P = 0.957).Conclusion: Patients undergoing SAR had non-inferior survival compared with SIR. It is possible that patients in SAR underwent preoperative radiographical evaluations more comprehensively and the surgical operations were more well performed.Keywords: incidental gallbladder carcinoma, simultaneous surgery, salvage surgery, prognosis incidental gallbladder carcinoma simultaneous surgery salvage surgery prognosis Neoplasms. Tumors. Oncology. Including cancer and carcinogens Yu T verfasserin aut Khadaroo PA verfasserin aut Cai L verfasserin aut Chu Y verfasserin aut Wei F verfasserin aut Liang X verfasserin aut In Cancer Management and Research Dove Medical Press, 2009 (2020), Seite 13469-13478 (DE-627)606030840 (DE-600)2508013-1 11791322 nnns year:2020 pages:13469-13478 https://doaj.org/article/b3fd7a57ebc14811ae50352fd4e20ad7 kostenfrei https://www.dovepress.com/a-comparison-between-the-prognosis-of-simultaneous-and-salvage-radical-peer-reviewed-article-CMAR kostenfrei https://doaj.org/toc/1179-1322 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2020 13469-13478 |
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(DE-627)DOAJ06130008X (DE-599)DOAJb3fd7a57ebc14811ae50352fd4e20ad7 DE-627 ger DE-627 rakwb eng RC254-282 He S verfasserin aut A Comparison Between the Prognosis of Simultaneous and Salvage Radical Resection in Incidental Gallbladder Cancer 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Shilin He,1,* Tunan Yu,1,* Parikshit Asutosh Khadaroo,2,3 Liuxin Cai,1 Yeyuan Chu,4 Fangqiang Wei,5 Xiao Liang1 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 2Monash University, School of Medicine, Nursing and Health Sciences, Melbourne, Australia; 3School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 4School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People’s Republic of China; 5Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiao LiangDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou, Zhejiang Province, People’s Republic of ChinaTel/Fax +86-571-8600-6605Email srrshlxzju.edu.cnPurpose: Incidental gallbladder cancer (IGBC) is defined as gallbladder cancer (GBC) that is accidentally discovered during cholecystectomy to treat benign lesions. We aimed to compare the prognosis of IGBC patients who underwent simultaneous radical resection (SIR) vs salvage radical resection (SAR).Patients and Methods: We retrospectively reviewed data for IGBC patients admitted to Sir Run Run Shaw Hospital from January 2000 to May 2016. Survival analysis was performed using Kaplan–Meier (univariate) and COX regression (multivariate) analyses.Results: Eighty-four patients with IGBC underwent radical resection; 43/84 underwent SIR, and 41/84 underwent SAR. Compared with SIR, the SAR group was more likely to receive comprehensive preoperative radiographic evaluation, port-site excision, and have more lymph nodes excised (all P < 0.05). Kaplan–Meier analysis indicated that the prognosis in the SAR group was better than that in SIR (overall survival: P = 0.050, recurrence-free survival: P = 0.028). Regression analysis indicated that the type of radical resection (SIR/SAR) was not an independent prognostic factor (overall survival: P = 0.737, recurrence-free survival: P = 0.957).Conclusion: Patients undergoing SAR had non-inferior survival compared with SIR. It is possible that patients in SAR underwent preoperative radiographical evaluations more comprehensively and the surgical operations were more well performed.Keywords: incidental gallbladder carcinoma, simultaneous surgery, salvage surgery, prognosis incidental gallbladder carcinoma simultaneous surgery salvage surgery prognosis Neoplasms. Tumors. Oncology. Including cancer and carcinogens Yu T verfasserin aut Khadaroo PA verfasserin aut Cai L verfasserin aut Chu Y verfasserin aut Wei F verfasserin aut Liang X verfasserin aut In Cancer Management and Research Dove Medical Press, 2009 (2020), Seite 13469-13478 (DE-627)606030840 (DE-600)2508013-1 11791322 nnns year:2020 pages:13469-13478 https://doaj.org/article/b3fd7a57ebc14811ae50352fd4e20ad7 kostenfrei https://www.dovepress.com/a-comparison-between-the-prognosis-of-simultaneous-and-salvage-radical-peer-reviewed-article-CMAR kostenfrei https://doaj.org/toc/1179-1322 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2020 13469-13478 |
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(DE-627)DOAJ06130008X (DE-599)DOAJb3fd7a57ebc14811ae50352fd4e20ad7 DE-627 ger DE-627 rakwb eng RC254-282 He S verfasserin aut A Comparison Between the Prognosis of Simultaneous and Salvage Radical Resection in Incidental Gallbladder Cancer 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Shilin He,1,* Tunan Yu,1,* Parikshit Asutosh Khadaroo,2,3 Liuxin Cai,1 Yeyuan Chu,4 Fangqiang Wei,5 Xiao Liang1 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 2Monash University, School of Medicine, Nursing and Health Sciences, Melbourne, Australia; 3School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 4School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People’s Republic of China; 5Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiao LiangDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou, Zhejiang Province, People’s Republic of ChinaTel/Fax +86-571-8600-6605Email srrshlxzju.edu.cnPurpose: Incidental gallbladder cancer (IGBC) is defined as gallbladder cancer (GBC) that is accidentally discovered during cholecystectomy to treat benign lesions. We aimed to compare the prognosis of IGBC patients who underwent simultaneous radical resection (SIR) vs salvage radical resection (SAR).Patients and Methods: We retrospectively reviewed data for IGBC patients admitted to Sir Run Run Shaw Hospital from January 2000 to May 2016. Survival analysis was performed using Kaplan–Meier (univariate) and COX regression (multivariate) analyses.Results: Eighty-four patients with IGBC underwent radical resection; 43/84 underwent SIR, and 41/84 underwent SAR. Compared with SIR, the SAR group was more likely to receive comprehensive preoperative radiographic evaluation, port-site excision, and have more lymph nodes excised (all P < 0.05). Kaplan–Meier analysis indicated that the prognosis in the SAR group was better than that in SIR (overall survival: P = 0.050, recurrence-free survival: P = 0.028). Regression analysis indicated that the type of radical resection (SIR/SAR) was not an independent prognostic factor (overall survival: P = 0.737, recurrence-free survival: P = 0.957).Conclusion: Patients undergoing SAR had non-inferior survival compared with SIR. It is possible that patients in SAR underwent preoperative radiographical evaluations more comprehensively and the surgical operations were more well performed.Keywords: incidental gallbladder carcinoma, simultaneous surgery, salvage surgery, prognosis incidental gallbladder carcinoma simultaneous surgery salvage surgery prognosis Neoplasms. Tumors. Oncology. Including cancer and carcinogens Yu T verfasserin aut Khadaroo PA verfasserin aut Cai L verfasserin aut Chu Y verfasserin aut Wei F verfasserin aut Liang X verfasserin aut In Cancer Management and Research Dove Medical Press, 2009 (2020), Seite 13469-13478 (DE-627)606030840 (DE-600)2508013-1 11791322 nnns year:2020 pages:13469-13478 https://doaj.org/article/b3fd7a57ebc14811ae50352fd4e20ad7 kostenfrei https://www.dovepress.com/a-comparison-between-the-prognosis-of-simultaneous-and-salvage-radical-peer-reviewed-article-CMAR kostenfrei https://doaj.org/toc/1179-1322 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2020 13469-13478 |
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(DE-627)DOAJ06130008X (DE-599)DOAJb3fd7a57ebc14811ae50352fd4e20ad7 DE-627 ger DE-627 rakwb eng RC254-282 He S verfasserin aut A Comparison Between the Prognosis of Simultaneous and Salvage Radical Resection in Incidental Gallbladder Cancer 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Shilin He,1,* Tunan Yu,1,* Parikshit Asutosh Khadaroo,2,3 Liuxin Cai,1 Yeyuan Chu,4 Fangqiang Wei,5 Xiao Liang1 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 2Monash University, School of Medicine, Nursing and Health Sciences, Melbourne, Australia; 3School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 4School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People’s Republic of China; 5Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiao LiangDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou, Zhejiang Province, People’s Republic of ChinaTel/Fax +86-571-8600-6605Email srrshlxzju.edu.cnPurpose: Incidental gallbladder cancer (IGBC) is defined as gallbladder cancer (GBC) that is accidentally discovered during cholecystectomy to treat benign lesions. We aimed to compare the prognosis of IGBC patients who underwent simultaneous radical resection (SIR) vs salvage radical resection (SAR).Patients and Methods: We retrospectively reviewed data for IGBC patients admitted to Sir Run Run Shaw Hospital from January 2000 to May 2016. Survival analysis was performed using Kaplan–Meier (univariate) and COX regression (multivariate) analyses.Results: Eighty-four patients with IGBC underwent radical resection; 43/84 underwent SIR, and 41/84 underwent SAR. Compared with SIR, the SAR group was more likely to receive comprehensive preoperative radiographic evaluation, port-site excision, and have more lymph nodes excised (all P < 0.05). Kaplan–Meier analysis indicated that the prognosis in the SAR group was better than that in SIR (overall survival: P = 0.050, recurrence-free survival: P = 0.028). Regression analysis indicated that the type of radical resection (SIR/SAR) was not an independent prognostic factor (overall survival: P = 0.737, recurrence-free survival: P = 0.957).Conclusion: Patients undergoing SAR had non-inferior survival compared with SIR. It is possible that patients in SAR underwent preoperative radiographical evaluations more comprehensively and the surgical operations were more well performed.Keywords: incidental gallbladder carcinoma, simultaneous surgery, salvage surgery, prognosis incidental gallbladder carcinoma simultaneous surgery salvage surgery prognosis Neoplasms. Tumors. Oncology. Including cancer and carcinogens Yu T verfasserin aut Khadaroo PA verfasserin aut Cai L verfasserin aut Chu Y verfasserin aut Wei F verfasserin aut Liang X verfasserin aut In Cancer Management and Research Dove Medical Press, 2009 (2020), Seite 13469-13478 (DE-627)606030840 (DE-600)2508013-1 11791322 nnns year:2020 pages:13469-13478 https://doaj.org/article/b3fd7a57ebc14811ae50352fd4e20ad7 kostenfrei https://www.dovepress.com/a-comparison-between-the-prognosis-of-simultaneous-and-salvage-radical-peer-reviewed-article-CMAR kostenfrei https://doaj.org/toc/1179-1322 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2020 13469-13478 |
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A Comparison Between the Prognosis of Simultaneous and Salvage Radical Resection in Incidental Gallbladder Cancer |
abstract |
Shilin He,1,* Tunan Yu,1,* Parikshit Asutosh Khadaroo,2,3 Liuxin Cai,1 Yeyuan Chu,4 Fangqiang Wei,5 Xiao Liang1 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 2Monash University, School of Medicine, Nursing and Health Sciences, Melbourne, Australia; 3School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 4School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People’s Republic of China; 5Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiao LiangDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou, Zhejiang Province, People’s Republic of ChinaTel/Fax +86-571-8600-6605Email srrshlxzju.edu.cnPurpose: Incidental gallbladder cancer (IGBC) is defined as gallbladder cancer (GBC) that is accidentally discovered during cholecystectomy to treat benign lesions. We aimed to compare the prognosis of IGBC patients who underwent simultaneous radical resection (SIR) vs salvage radical resection (SAR).Patients and Methods: We retrospectively reviewed data for IGBC patients admitted to Sir Run Run Shaw Hospital from January 2000 to May 2016. Survival analysis was performed using Kaplan–Meier (univariate) and COX regression (multivariate) analyses.Results: Eighty-four patients with IGBC underwent radical resection; 43/84 underwent SIR, and 41/84 underwent SAR. Compared with SIR, the SAR group was more likely to receive comprehensive preoperative radiographic evaluation, port-site excision, and have more lymph nodes excised (all P < 0.05). Kaplan–Meier analysis indicated that the prognosis in the SAR group was better than that in SIR (overall survival: P = 0.050, recurrence-free survival: P = 0.028). Regression analysis indicated that the type of radical resection (SIR/SAR) was not an independent prognostic factor (overall survival: P = 0.737, recurrence-free survival: P = 0.957).Conclusion: Patients undergoing SAR had non-inferior survival compared with SIR. It is possible that patients in SAR underwent preoperative radiographical evaluations more comprehensively and the surgical operations were more well performed.Keywords: incidental gallbladder carcinoma, simultaneous surgery, salvage surgery, prognosis |
abstractGer |
Shilin He,1,* Tunan Yu,1,* Parikshit Asutosh Khadaroo,2,3 Liuxin Cai,1 Yeyuan Chu,4 Fangqiang Wei,5 Xiao Liang1 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 2Monash University, School of Medicine, Nursing and Health Sciences, Melbourne, Australia; 3School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 4School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People’s Republic of China; 5Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiao LiangDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou, Zhejiang Province, People’s Republic of ChinaTel/Fax +86-571-8600-6605Email srrshlxzju.edu.cnPurpose: Incidental gallbladder cancer (IGBC) is defined as gallbladder cancer (GBC) that is accidentally discovered during cholecystectomy to treat benign lesions. We aimed to compare the prognosis of IGBC patients who underwent simultaneous radical resection (SIR) vs salvage radical resection (SAR).Patients and Methods: We retrospectively reviewed data for IGBC patients admitted to Sir Run Run Shaw Hospital from January 2000 to May 2016. Survival analysis was performed using Kaplan–Meier (univariate) and COX regression (multivariate) analyses.Results: Eighty-four patients with IGBC underwent radical resection; 43/84 underwent SIR, and 41/84 underwent SAR. Compared with SIR, the SAR group was more likely to receive comprehensive preoperative radiographic evaluation, port-site excision, and have more lymph nodes excised (all P < 0.05). Kaplan–Meier analysis indicated that the prognosis in the SAR group was better than that in SIR (overall survival: P = 0.050, recurrence-free survival: P = 0.028). Regression analysis indicated that the type of radical resection (SIR/SAR) was not an independent prognostic factor (overall survival: P = 0.737, recurrence-free survival: P = 0.957).Conclusion: Patients undergoing SAR had non-inferior survival compared with SIR. It is possible that patients in SAR underwent preoperative radiographical evaluations more comprehensively and the surgical operations were more well performed.Keywords: incidental gallbladder carcinoma, simultaneous surgery, salvage surgery, prognosis |
abstract_unstemmed |
Shilin He,1,* Tunan Yu,1,* Parikshit Asutosh Khadaroo,2,3 Liuxin Cai,1 Yeyuan Chu,4 Fangqiang Wei,5 Xiao Liang1 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 2Monash University, School of Medicine, Nursing and Health Sciences, Melbourne, Australia; 3School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of China; 4School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People’s Republic of China; 5Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiao LiangDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou, Zhejiang Province, People’s Republic of ChinaTel/Fax +86-571-8600-6605Email srrshlxzju.edu.cnPurpose: Incidental gallbladder cancer (IGBC) is defined as gallbladder cancer (GBC) that is accidentally discovered during cholecystectomy to treat benign lesions. We aimed to compare the prognosis of IGBC patients who underwent simultaneous radical resection (SIR) vs salvage radical resection (SAR).Patients and Methods: We retrospectively reviewed data for IGBC patients admitted to Sir Run Run Shaw Hospital from January 2000 to May 2016. Survival analysis was performed using Kaplan–Meier (univariate) and COX regression (multivariate) analyses.Results: Eighty-four patients with IGBC underwent radical resection; 43/84 underwent SIR, and 41/84 underwent SAR. Compared with SIR, the SAR group was more likely to receive comprehensive preoperative radiographic evaluation, port-site excision, and have more lymph nodes excised (all P < 0.05). Kaplan–Meier analysis indicated that the prognosis in the SAR group was better than that in SIR (overall survival: P = 0.050, recurrence-free survival: P = 0.028). Regression analysis indicated that the type of radical resection (SIR/SAR) was not an independent prognostic factor (overall survival: P = 0.737, recurrence-free survival: P = 0.957).Conclusion: Patients undergoing SAR had non-inferior survival compared with SIR. It is possible that patients in SAR underwent preoperative radiographical evaluations more comprehensively and the surgical operations were more well performed.Keywords: incidental gallbladder carcinoma, simultaneous surgery, salvage surgery, prognosis |
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title_short |
A Comparison Between the Prognosis of Simultaneous and Salvage Radical Resection in Incidental Gallbladder Cancer |
url |
https://doaj.org/article/b3fd7a57ebc14811ae50352fd4e20ad7 https://www.dovepress.com/a-comparison-between-the-prognosis-of-simultaneous-and-salvage-radical-peer-reviewed-article-CMAR https://doaj.org/toc/1179-1322 |
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