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Benefit of extended radical surgery for incidental gallbladder carcinoma
http://hdl.handle.net/2237/24931
http://hdl.handle.net/2237/24931557f85c8-45e3-4439-82da-816f6ef33976
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
Yamaguchi_J_Incidental_Gallbladder_Carcinoma.pdf (578.3 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2016-09-30 | |||||
| タイトル | ||||||
| タイトル | Benefit of extended radical surgery for incidental gallbladder carcinoma | |||||
| 言語 | en | |||||
| 著者 |
Yamaguchi, Junpei
× Yamaguchi, Junpei× Kaneoka, Yuji× Maeda, Atsuyuki× Takayama, Yuichi× Onoe, Shunsuke× Isogai, Masatoshi |
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| アクセス権 | ||||||
| アクセス権 | open access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
| 権利 | ||||||
| 言語 | en | |||||
| 権利情報 | The final publication is available at Springer via http://doi.org/10.1007/s00595-015-1198-z | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Incidental gallbladder carcinoma | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Extended radical surgery | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Purpose: We aimed to define the benefit of extended radical surgery for incidental gallbladder carcinoma (IGC), the most appropriate treatment for which remains controversial. Methods: We analyzed retrospectively the management strategies and prognoses of 28 patients with IGC treated in our hospital. Results: After initial cholecystectomy, 10, 5, and 13 of the 28 patients were found to have T1a (m), T1b (mp), and T2 (ss) disease, respectively. The patients with T1a disease (T1a group) had a good prognosis; however, 9 of the 18 patients with T1b or T2 disease required additional S4a + 5 segmentectomy of the liver and bile duct resection (extended radical surgery; re-resected group), while 9 did not undergo additional treatment because of their poor general condition (no-treatment group). The re-resected group had a favorable prognosis, with an 88.9 % 5-year disease-specific survival (DSS) rate, which was significantly better than that of the non-treatment group (30.5 %, p = 0.015) and comparable to that of the T1a group (90.0 %, p = 0.97). Examination of the re-resected specimens revealed residual disease in 44 % (4/9). Conclusion: Additional extended radical surgery improved the prognosis of patients with IGC, suggesting that there is curative potential in most cases. | |||||
| 言語 | en | |||||
| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | First Online: 17 June 2015 | |||||
| 言語 | en | |||||
| 出版者 | ||||||
| 出版者 | Springer | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
| タイプ | journal article | |||||
| 出版タイプ | ||||||
| 出版タイプ | AM | |||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
| DOI | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | https://doi.org/10.1007/s00595-015-1198-z | |||||
| ISSN | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 0941-1291 | |||||
| 書誌情報 |
en : Surgery Today 巻 46, 号 4, p. 453-459, 発行日 2016-04 |
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| 著者版フラグ | ||||||
| 値 | author | |||||
| URI | ||||||
| 識別子 | http://doi.org/10.1007/s00595-015-1198-z | |||||
| 識別子タイプ | DOI | |||||
| URI | ||||||
| 識別子 | http://hdl.handle.net/2237/24931 | |||||
| 識別子タイプ | HDL | |||||
