File Download
There are no files associated with this item.
Links for fulltext
(May Require Subscription)
- Publisher Website: 10.1016/j.hpb.2018.05.006
- Scopus: eid_2-s2.0-85049866102
- PMID: 30017784
- WOS: WOS:000450553500011
- Find via
Supplementary
- Citations:
- Appears in Collections:
Article: Recurrent pyogenic cholangitis – an independent poor prognostic indicator for resectable intrahepatic cholangiocarcinoma: A propensity score matched analysis
Title | Recurrent pyogenic cholangitis – an independent poor prognostic indicator for resectable intrahepatic cholangiocarcinoma: A propensity score matched analysis |
---|---|
Authors | |
Issue Date | 2018 |
Publisher | Elsevier Ltd. The Journal's web site is located at http://www.hpbonline.org/ |
Citation | HPB, 2018, v. 20 n. 11, p. 1067-1072 How to Cite? |
Abstract | Background:
Recurrent pyogenic cholangitis (RPC) is a known risk factor for intrahepatic cholangiocarcinoma (ICC), whether it represents a poor prognostic factor remains controversial. The aim of this study was to investigate the post-hepatectomy oncological outcomes of patients with ICC and coexisting RPC.
Method:
A retrospective analysis with propensity score matching (PSM) was performed for comparison between ICC patient with and without RPC.
Results:
There were 143 patients with ICC with a median follow-up of 21 months. RPC was diagnosed in 18% of patients. The time from RPC diagnosis to ICC diagnosis was 137(47–481) months. The 3-year disease-free (DFS) and overall survival for the whole population was 34% and 43% respectively. Preoperative child score, elevated carcinoembryonic antigen, presence of microvascular invasion, multiple tumours, presence of postoperative complications and RPC were independent factors for DFS and OS. After PSM, 60 ICC patients who did not have RPC were compared with 20 ICC patients with RPC. Patients with RPC had significantly worse median DFS (10 vs 23 months, P = 0.020) and OS (15 vs 45 months, P = 0.004) when compared to the patients without RPC.
Conclusion:
RPC represents a poor prognostic factor affecting outcomes after hepatectomy for patients with ICC. |
Persistent Identifier | http://hdl.handle.net/10722/259528 |
ISSN | 2023 Impact Factor: 2.7 2023 SCImago Journal Rankings: 1.141 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Ma, KW | - |
dc.contributor.author | Cheung, TT | - |
dc.contributor.author | She, WH | - |
dc.contributor.author | Chok, KSH | - |
dc.contributor.author | Chan, ACY | - |
dc.contributor.author | Dai, WC | - |
dc.contributor.author | Lo, CM | - |
dc.date.accessioned | 2018-09-03T04:09:24Z | - |
dc.date.available | 2018-09-03T04:09:24Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | HPB, 2018, v. 20 n. 11, p. 1067-1072 | - |
dc.identifier.issn | 1365-182X | - |
dc.identifier.uri | http://hdl.handle.net/10722/259528 | - |
dc.description.abstract | Background: Recurrent pyogenic cholangitis (RPC) is a known risk factor for intrahepatic cholangiocarcinoma (ICC), whether it represents a poor prognostic factor remains controversial. The aim of this study was to investigate the post-hepatectomy oncological outcomes of patients with ICC and coexisting RPC. Method: A retrospective analysis with propensity score matching (PSM) was performed for comparison between ICC patient with and without RPC. Results: There were 143 patients with ICC with a median follow-up of 21 months. RPC was diagnosed in 18% of patients. The time from RPC diagnosis to ICC diagnosis was 137(47–481) months. The 3-year disease-free (DFS) and overall survival for the whole population was 34% and 43% respectively. Preoperative child score, elevated carcinoembryonic antigen, presence of microvascular invasion, multiple tumours, presence of postoperative complications and RPC were independent factors for DFS and OS. After PSM, 60 ICC patients who did not have RPC were compared with 20 ICC patients with RPC. Patients with RPC had significantly worse median DFS (10 vs 23 months, P = 0.020) and OS (15 vs 45 months, P = 0.004) when compared to the patients without RPC. Conclusion: RPC represents a poor prognostic factor affecting outcomes after hepatectomy for patients with ICC. | - |
dc.language | eng | - |
dc.publisher | Elsevier Ltd. The Journal's web site is located at http://www.hpbonline.org/ | - |
dc.relation.ispartof | HPB | - |
dc.title | Recurrent pyogenic cholangitis – an independent poor prognostic indicator for resectable intrahepatic cholangiocarcinoma: A propensity score matched analysis | - |
dc.type | Article | - |
dc.identifier.email | Cheung, TT: cheung68@hku.hk | - |
dc.identifier.email | She, WH: brianshe@hku.hk | - |
dc.identifier.email | Chok, KSH: chok6275@hku.hk | - |
dc.identifier.email | Chan, ACY: acchan@hku.hk | - |
dc.identifier.email | Dai, WC: daiwc@HKUCC-COM.hku.hk | - |
dc.identifier.email | Lo, CM: chungmlo@hkucc.hku.hk | - |
dc.identifier.authority | Cheung, TT=rp02129 | - |
dc.identifier.authority | Chok, KSH=rp02110 | - |
dc.identifier.authority | Chan, ACY=rp00310 | - |
dc.identifier.authority | Lo, CM=rp00412 | - |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.1016/j.hpb.2018.05.006 | - |
dc.identifier.pmid | 30017784 | - |
dc.identifier.scopus | eid_2-s2.0-85049866102 | - |
dc.identifier.hkuros | 288575 | - |
dc.identifier.volume | 20 | - |
dc.identifier.issue | 11 | - |
dc.identifier.spage | 1067 | - |
dc.identifier.epage | 1072 | - |
dc.identifier.isi | WOS:000450553500011 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1365-182X | - |