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A random Abstract
Our Project
Our Team
Surgery for Recurrent Biliary Tract Cancer: A Single-Center Experience With 74 Consecutive Resections.
[cholangiocarcinoma]
To
review
our
experiences
with
surgery
for
recurrent
biliary
tract
cancer
(
BTC
)
.
Few
studies
have
reported
on
surgical
procedures
for
recurrent
BTC
;
therefore
,
it
is
unclear
whether
this
surgery
has
survival
benefit
.
Between
1991
and
2010
,
606
patients
had
recurrences
after
resection
of
BTC
(
gallbladder
cancer
,
n
=
135
;
cholangiocarcinoma
,
n
=
471
)
;
74
patients
underwent
resection
for
recurrence
,
whereas
the
remaining
532
did
not
.
The
medical
records
were
retrospectively
reviewed
.
Compared
with
the
532
patients
without
surgery
for
recurrence
,
the
74
patients
with
surgery
had
less
advanced
cancer
,
and
their
time
to
recurrence
was
significantly
longer
(
1
.
4
vs
0
.
8
years
;
P
<
0
.
001
)
.
A
total
of
89
surgical
procedures
for
recurrence
were
performed
in
the
74
patients
(
1
time
in
63
and
≥
2
times
in
11
)
.
Survival
after
recurrence
was
significantly
better
in
the
74
patients
with
surgery
than
in
the
532
without
(
32
%
vs
3
%
at
3
years
;
P
<
0
.
001
)
.
Survival
after
surgery
for
recurrence
was
(
1
)
similar
between
gallbladder
cancer
and
cholangiocarcinoma
;
(
2
)
significantly
better
in
patients
with
initial
disease-free
interval
of
2
or
more
years
;
(
3
)
significantly
worse
in
patients
with
chest
or
abdominal
wall
recurrences
;
and
(
4
)
significantly
better
in
patients
with
pN
0
disease
in
their
primary
cancer
.
Nodal
status
of
the
primary
tumor
and
the
site
of
initial
recurrence
were
identified
as
independent
prognostic
factors
after
surgery
for
recurrence
.
Surgical
resection
for
recurrent
BTC
can
be
performed
safely
and
offers
a
better
chance
of
long
-term
survival
in
selected
patients
.
