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- 저자 : ( Sagar Kurunkar ) (검색결과 1 건)
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( Krunal Khobragade ),( Shraddha Patkar ),( Vijayraj Patil ),( Sagar Kurunkar ),( Mahesh Goel ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: The extent of liver resection for gall bladder cancer (GBC) is still debated. We evaluated the post-operative and oncologi cal outcomes of patients who underwent liver wedge excision. Methods: Patients who underwent radical cholecystectomy (with a liver wedge excision of 2.5-3 centimetres) from June 2010 to December 2015 were retrospectively analysed. Results: 97 cases of primary GBC out of 558 patients undergo ing surgery for GBC were selected. Majority of our patients had stage III disease (52 %). At a median follow up of 29 months, 65.9 % of patients were disease free where as 13.4% were alive with disease. 2.1 % died in postoperative period, 12.3% patients died of disease and 6.1% died of unrelated causes.9 patients had loco- regional recurrence and 16 failed at distant sites. Only one patient recurred in the gall bladder bed. 3-year overall survival of stage II was 85 % and of stage III was 60 %. Conclusions: Surgical outcomes of radical cholecystectomy with wedge resection of the liver at our centre, parallels pub lished international literature. With low morbidity and mortality, it emphasizes oncological equivalence of liver wedge resection as compared to formal segment IVb/V excision, provided a mar gin negative resection is achieved.
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