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Comparison between two types of local resection in the treatment of ampullary cancer
Background This study aims to compare the effects of two different local resection procedures on the prognosis of ampullary cancer. Methods We carried out a retrospective study using clinical and pathological data from patients with ampullary cancer who underwent local resection between February 199...
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| Published in: | ANZ journal of surgery 2014-04, Vol.84 (4), p.255-259 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 259 |
| container_issue | 4 |
| container_start_page | 255 |
| container_title | ANZ journal of surgery |
| container_volume | 84 |
| creator | Zhao, Xiang-Qian Huang, Xiao-Qiang Zhang, Wen-Zhi Liu, Zhe |
| description | Background
This study aims to compare the effects of two different local resection procedures on the prognosis of ampullary cancer.
Methods
We carried out a retrospective study using clinical and pathological data from patients with ampullary cancer who underwent local resection between February 1996 and February 2009 in the PLA General Hospital. In these participants, we carried out a comparative analysis between the transduodenal (the transduodenal group) and the extraduodenal (extraduodenal group) surgical approaches.
Results
No significant differences in gender, age, preoperative bilirubin levels, CA19‐9 values, biopsy results, tumour size, differentiation status, degree of invasion, surgical margins, recurrence, metastasis and complication rates, and intraoperative blood loss were found. As compared to the transduodenal group, the extraduodenal group showed a longer duration of surgery and higher survival rates.
Conclusions
Even though the operation time for the extraduodenal resection of ampullary cancer was longer, the survival rate was higher than in patients who underwent transduodenal resection. For certain patients, the extraduodenal approach may be more appropriate when technical conditions allow it. |
| doi_str_mv | 10.1111/ans.12047 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1512558465</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3261610471</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4267-a16f610f38eff2201c0982537103231e8911aba072075ad5dbdc3c80393326f13</originalsourceid><addsrcrecordid>eNp10E9v0zAYBnALgdgYHPgCUyQu7JDNr_8mx6mwFm0aB4rgZrnuG5EtiTPbUem3x6XtDkj4Ykv--dHrh5D3QC8hrys7xEtgVOgX5BSEkCWDWr88nEFwfkLexPhAKShVy9fkhHEutKDslCxnvh9taKMfihWmDeJQpI0v0nbEWPim6LyzXREwokttRm2-_4VFCmhTj0PaGduPU9fZsC2cHRyGt-RVY7uI7w77Gfl-83k5W5R3X-dfZtd3pRNM6dKCahTQhlfYNIxRcLSumOQaKGccsKoB7MpSzaiWdi3Xq7XjrqK85pypBvgZ-bjPHYN_mjAm07fRYR5lQD9FAxKYlJVQMtMP_9AHP4UhT7dTILlUimZ1sVcu-BgDNmYMbZ8_ZoCaXdUmV23-Vp3t-SFxWvW4fpbHbjO42oNN2-H2_0nm-v7bMbLcv2hjwt_PL2x4NEpzLc2P-7nh80-L258gzC3_A_LUlSk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1511535660</pqid></control><display><type>article</type><title>Comparison between two types of local resection in the treatment of ampullary cancer</title><source>Wiley</source><creator>Zhao, Xiang-Qian ; Huang, Xiao-Qiang ; Zhang, Wen-Zhi ; Liu, Zhe</creator><creatorcontrib>Zhao, Xiang-Qian ; Huang, Xiao-Qiang ; Zhang, Wen-Zhi ; Liu, Zhe</creatorcontrib><description>Background
This study aims to compare the effects of two different local resection procedures on the prognosis of ampullary cancer.
Methods
We carried out a retrospective study using clinical and pathological data from patients with ampullary cancer who underwent local resection between February 1996 and February 2009 in the PLA General Hospital. In these participants, we carried out a comparative analysis between the transduodenal (the transduodenal group) and the extraduodenal (extraduodenal group) surgical approaches.
Results
No significant differences in gender, age, preoperative bilirubin levels, CA19‐9 values, biopsy results, tumour size, differentiation status, degree of invasion, surgical margins, recurrence, metastasis and complication rates, and intraoperative blood loss were found. As compared to the transduodenal group, the extraduodenal group showed a longer duration of surgery and higher survival rates.
Conclusions
Even though the operation time for the extraduodenal resection of ampullary cancer was longer, the survival rate was higher than in patients who underwent transduodenal resection. For certain patients, the extraduodenal approach may be more appropriate when technical conditions allow it.</description><identifier>ISSN: 1445-1433</identifier><identifier>EISSN: 1445-2197</identifier><identifier>DOI: 10.1111/ans.12047</identifier><identifier>PMID: 23347402</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Aged ; Ampulla of Vater - surgery ; ampullary cancer ; Biliary Tract Surgical Procedures - methods ; Cancer surgery ; Common Bile Duct Neoplasms - mortality ; Common Bile Duct Neoplasms - surgery ; Comparative studies ; Duodenum - surgery ; Female ; Follow-Up Studies ; hepatobiliary surgery ; Humans ; local resection ; Male ; Medical prognosis ; Middle Aged ; Prognosis ; Retrospective Studies ; retrospective study ; Surgical outcomes ; Surgical techniques ; Survival Analysis ; transduodenal ; Treatment Outcome</subject><ispartof>ANZ journal of surgery, 2014-04, Vol.84 (4), p.255-259</ispartof><rights>2013 The Authors. ANZ Journal of Surgery © 2013 Royal Australasian College of Surgeons</rights><rights>2013 The Authors. ANZ Journal of Surgery © 2013 Royal Australasian College of Surgeons.</rights><rights>Copyright © 2014 Royal Australasian College of Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4267-a16f610f38eff2201c0982537103231e8911aba072075ad5dbdc3c80393326f13</citedby><cites>FETCH-LOGICAL-c4267-a16f610f38eff2201c0982537103231e8911aba072075ad5dbdc3c80393326f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23347402$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhao, Xiang-Qian</creatorcontrib><creatorcontrib>Huang, Xiao-Qiang</creatorcontrib><creatorcontrib>Zhang, Wen-Zhi</creatorcontrib><creatorcontrib>Liu, Zhe</creatorcontrib><title>Comparison between two types of local resection in the treatment of ampullary cancer</title><title>ANZ journal of surgery</title><addtitle>ANZ J Surg</addtitle><description>Background
This study aims to compare the effects of two different local resection procedures on the prognosis of ampullary cancer.
Methods
We carried out a retrospective study using clinical and pathological data from patients with ampullary cancer who underwent local resection between February 1996 and February 2009 in the PLA General Hospital. In these participants, we carried out a comparative analysis between the transduodenal (the transduodenal group) and the extraduodenal (extraduodenal group) surgical approaches.
Results
No significant differences in gender, age, preoperative bilirubin levels, CA19‐9 values, biopsy results, tumour size, differentiation status, degree of invasion, surgical margins, recurrence, metastasis and complication rates, and intraoperative blood loss were found. As compared to the transduodenal group, the extraduodenal group showed a longer duration of surgery and higher survival rates.
Conclusions
Even though the operation time for the extraduodenal resection of ampullary cancer was longer, the survival rate was higher than in patients who underwent transduodenal resection. For certain patients, the extraduodenal approach may be more appropriate when technical conditions allow it.</description><subject>Aged</subject><subject>Ampulla of Vater - surgery</subject><subject>ampullary cancer</subject><subject>Biliary Tract Surgical Procedures - methods</subject><subject>Cancer surgery</subject><subject>Common Bile Duct Neoplasms - mortality</subject><subject>Common Bile Duct Neoplasms - surgery</subject><subject>Comparative studies</subject><subject>Duodenum - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>hepatobiliary surgery</subject><subject>Humans</subject><subject>local resection</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>retrospective study</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Survival Analysis</subject><subject>transduodenal</subject><subject>Treatment Outcome</subject><issn>1445-1433</issn><issn>1445-2197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp10E9v0zAYBnALgdgYHPgCUyQu7JDNr_8mx6mwFm0aB4rgZrnuG5EtiTPbUem3x6XtDkj4Ykv--dHrh5D3QC8hrys7xEtgVOgX5BSEkCWDWr88nEFwfkLexPhAKShVy9fkhHEutKDslCxnvh9taKMfihWmDeJQpI0v0nbEWPim6LyzXREwokttRm2-_4VFCmhTj0PaGduPU9fZsC2cHRyGt-RVY7uI7w77Gfl-83k5W5R3X-dfZtd3pRNM6dKCahTQhlfYNIxRcLSumOQaKGccsKoB7MpSzaiWdi3Xq7XjrqK85pypBvgZ-bjPHYN_mjAm07fRYR5lQD9FAxKYlJVQMtMP_9AHP4UhT7dTILlUimZ1sVcu-BgDNmYMbZ8_ZoCaXdUmV23-Vp3t-SFxWvW4fpbHbjO42oNN2-H2_0nm-v7bMbLcv2hjwt_PL2x4NEpzLc2P-7nh80-L258gzC3_A_LUlSk</recordid><startdate>201404</startdate><enddate>201404</enddate><creator>Zhao, Xiang-Qian</creator><creator>Huang, Xiao-Qiang</creator><creator>Zhang, Wen-Zhi</creator><creator>Liu, Zhe</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201404</creationdate><title>Comparison between two types of local resection in the treatment of ampullary cancer</title><author>Zhao, Xiang-Qian ; Huang, Xiao-Qiang ; Zhang, Wen-Zhi ; Liu, Zhe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4267-a16f610f38eff2201c0982537103231e8911aba072075ad5dbdc3c80393326f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Ampulla of Vater - surgery</topic><topic>ampullary cancer</topic><topic>Biliary Tract Surgical Procedures - methods</topic><topic>Cancer surgery</topic><topic>Common Bile Duct Neoplasms - mortality</topic><topic>Common Bile Duct Neoplasms - surgery</topic><topic>Comparative studies</topic><topic>Duodenum - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>hepatobiliary surgery</topic><topic>Humans</topic><topic>local resection</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>retrospective study</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><topic>Survival Analysis</topic><topic>transduodenal</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhao, Xiang-Qian</creatorcontrib><creatorcontrib>Huang, Xiao-Qiang</creatorcontrib><creatorcontrib>Zhang, Wen-Zhi</creatorcontrib><creatorcontrib>Liu, Zhe</creatorcontrib><collection>Istex</collection><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>ANZ journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhao, Xiang-Qian</au><au>Huang, Xiao-Qiang</au><au>Zhang, Wen-Zhi</au><au>Liu, Zhe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison between two types of local resection in the treatment of ampullary cancer</atitle><jtitle>ANZ journal of surgery</jtitle><addtitle>ANZ J Surg</addtitle><date>2014-04</date><risdate>2014</risdate><volume>84</volume><issue>4</issue><spage>255</spage><epage>259</epage><pages>255-259</pages><issn>1445-1433</issn><eissn>1445-2197</eissn><abstract>Background
This study aims to compare the effects of two different local resection procedures on the prognosis of ampullary cancer.
Methods
We carried out a retrospective study using clinical and pathological data from patients with ampullary cancer who underwent local resection between February 1996 and February 2009 in the PLA General Hospital. In these participants, we carried out a comparative analysis between the transduodenal (the transduodenal group) and the extraduodenal (extraduodenal group) surgical approaches.
Results
No significant differences in gender, age, preoperative bilirubin levels, CA19‐9 values, biopsy results, tumour size, differentiation status, degree of invasion, surgical margins, recurrence, metastasis and complication rates, and intraoperative blood loss were found. As compared to the transduodenal group, the extraduodenal group showed a longer duration of surgery and higher survival rates.
Conclusions
Even though the operation time for the extraduodenal resection of ampullary cancer was longer, the survival rate was higher than in patients who underwent transduodenal resection. For certain patients, the extraduodenal approach may be more appropriate when technical conditions allow it.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>23347402</pmid><doi>10.1111/ans.12047</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1445-1433 |
| ispartof | ANZ journal of surgery, 2014-04, Vol.84 (4), p.255-259 |
| issn | 1445-1433 1445-2197 |
| language | eng |
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| source | Wiley |
| subjects | Aged Ampulla of Vater - surgery ampullary cancer Biliary Tract Surgical Procedures - methods Cancer surgery Common Bile Duct Neoplasms - mortality Common Bile Duct Neoplasms - surgery Comparative studies Duodenum - surgery Female Follow-Up Studies hepatobiliary surgery Humans local resection Male Medical prognosis Middle Aged Prognosis Retrospective Studies retrospective study Surgical outcomes Surgical techniques Survival Analysis transduodenal Treatment Outcome |
| title | Comparison between two types of local resection in the treatment of ampullary cancer |
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