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Folly Beach Library
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Wando Mount Pleasant Library
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Laparoscopic versus open surgery for perihilar cholangiocarcinoma: a multicenter propensity score analysis of short- term outcomes.
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- Author(s): Wang, Min; Qin, Tingting; Zhang, Hang; Li, Jingdong; Deng, Xiaxing; Zhang, Yuhua; Zhao, Wenxing; Fan, Ying; Li, Dewei; Chen, Xuemin; Feng, Yechen; Zhu, Siwei; Xing, Zhongqiang; Yu, Guangsheng; Xu, Jian; Xie, Junjie; Dou, Changwei; Ma, Hongqin; Liu, Gangshan; Shao, Yue
- Source:
BMC Cancer; 5/3/2023, Vol. 23 Issue 1, p1-16, 16p- Subject Terms:
- Source:
- Additional Information
- Subject Terms:
- Abstract: Background: Laparoscopic surgery (LS) has been increasingly applied in perihilar cholangiocarcinoma (pCCA). In this study, we intend to compare the short-term outcomes of LS versus open operation (OP) for pCCA in a multicentric practice in China. Methods: This real-world analysis included 645 pCCA patients receiving LS and OP at 11 participating centers in China between January 2013 and January 2019. A comparative analysis was performed before and after propensity score matching (PSM) in LS and OP groups, and within Bismuth subgroups. Univariate and multivariate models were performed to identify significant prognostic factors of adverse surgical outcomes and postoperative length of stay (LOS). Results: Among 645 pCCAs, 256 received LS and 389 received OP. Reduced hepaticojejunostomy (30.89% vs 51.40%, P = 0.006), biliary plasty requirement (19.51% vs 40.16%, P = 0.001), shorter LOS (mean 14.32 vs 17.95 d, P < 0.001), and lower severe complication (CD ≥ III) (12.11% vs. 22.88%, P = 0.006) were observed in the LS group compared with the OP group. Major postoperative complications such as hemorrhage, biliary fistula, abdominal abscess, and hepatic insufficiency were similar between LS and OP (P > 0.05 for all). After PSM, the short-term outcomes of two surgical methods were similar, except for shorter LOS in LS compared with OP (mean 15.19 vs 18.48 d, P = 0.0007). A series subgroup analysis demonstrated that LS was safe and had advantages in shorting LOS. Conclusion: Although the complex surgical procedures, LS generally seems to be safe and feasible for experienced surgeons. Trial registration: NCT05402618 (date of first registration: 02/06/2022). [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of BMC Cancer is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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