Incidence of Cholangiocarcinoma with or without Previous Resection of Liver for Hepatolithiasis
0
조회
0
다운로드
1
인용
0
참고문헌
초록
Background/Aims: To investigate the incidence of cholangiocarcinoma in patients with hepatolithiasis with or without previous resection of liver. Methods: From 2002 to 2009, we retrospectively reviewed 117 patients who were diagnosed and treated for hepatolithiasis in Korea University Guro Hospital. Among the 117 patients, 55 patients who were lost during follow-up were excluded, and 62 patients were eligible for analysis. The hepatic resection group (n=25) included patients who underwent left hemihepatectomy (n=2); left lateral segmentectomy (n=10); left lobectomy (n=9); right lobectomy (n=3); or wedge resection (n=1). The nonhepatic resection group (n=37) included transhepatic cholangiographic lithotomy and endoscopic retrograde cholangiopancreatography-treated patients. The mean follow-up period was 47months. Results: The incidence of cholangiocarcinoma while patients were followed for hepatolithiasis was 12.9% (8/62)(hepatic resection group, three cases [12%] vs nonhepatic resection group, five cases [13.5%]; p=1.000). The mean follow-up period was 53 months (47±11 months) until the diagnosis of cholangiocarcinoma. Conclusions: There was no difference in the incidence of cholangiocarcinoma according to previous liver resections. Patients with hepatolithiasis should be carefully followed up for detection of cholangiocarcinoma even after a previous liver resection.
Abstract
Background/Aims: To investigate the incidence of cholangiocarcinoma in patients with hepatolithiasis with or without previous resection of liver. Methods: From 2002 to 2009, we retrospectively reviewed 117 patients who were diagnosed and treated for hepatolithiasis in Korea University Guro Hospital. Among the 117 patients, 55 patients who were lost during follow-up were excluded, and 62 patients were eligible for analysis. The hepatic resection group (n=25) included patients who underwent left hemihepatectomy (n=2); left lateral segmentectomy (n=10); left lobectomy (n=9); right lobectomy (n=3); or wedge resection (n=1). The nonhepatic resection group (n=37) included transhepatic cholangiographic lithotomy and endoscopic retrograde cholangiopancreatography-treated patients. The mean follow-up period was 47months. Results: The incidence of cholangiocarcinoma while patients were followed for hepatolithiasis was 12.9% (8/62)(hepatic resection group, three cases [12%] vs nonhepatic resection group, five cases [13.5%]; p=1.000). The mean follow-up period was 53 months (47±11 months) until the diagnosis of cholangiocarcinoma. Conclusions: There was no difference in the incidence of cholangiocarcinoma according to previous liver resections. Patients with hepatolithiasis should be carefully followed up for detection of cholangiocarcinoma even after a previous liver resection.
참고문헌 (26)
- Nakayama F, "Hepatolithiasis in East Asia. Retrospective study", Dig Dis Sci, 31, pp.21~26 (1986)
- Su CH, "Relative prevalence of gallstone diseases in Taiwan. A nationwide cooperative study", Dig Dis Sci, 37, pp.764~768 (1992)
- Chijiiwa K, "Current management and long-term prognosis of hepatolithiasis", Arch Surg, 130, pp.194~197 (1995)
- Jan YY, "Surgical treatment of hepatolithiasis: long-term results", Surgery, 120, pp.509~514 (1996)
- Yeh YH, "Percutaneous trans-hepatic cholangioscopy and lithotripsy in the treatment of intrahepatic stones: a study with 5 year follow-up", Gastrointest Endosc, 42, pp.13~18 (1995)
- Sanes S, "Primary carcinoma of the liver: cholangioma in hepatolithiasis", Am J Pathol, 18, pp.675~687 (1942)
- Chijiiwa K, "Late development of cholangiocarcinoma after the treatment of hepatolithiasis", Surg Gynecol Obstet, 177, pp.279~282 (1993)
- Sheen-Chen SM, "Intrahepatic cholangiocarcinoma in hepatolithiasis: a frequently overlooked disease", J Surg Oncol, 47, pp.131~135 (1991)
- Tsunoda T, "Caroli’s disease associated with hepatolithiasis: a case report and review of the Japanese literature", Gastroenterol Jpn, 26, pp.74~79 (1991)
- Su CH, "Hepatolithiasis associated with cholangiocarcinoma", Br J Surg, 84, pp.969~973 (1997)
- Falchuk KR, "Cholangiocarcinoma as related to chronic intrahepatic cholangitis and hepatolithiasis. Case report and review of the literature", Am J Gastroenterol, 66, pp.57~61 (1976)
- Nakanuma Y, "Are hepatolithiasis and cholangiocarcinoma aetiologically related? A morphological study of 12 cases of hepatolithiasis associated with cholangiocarcinoma", Virchows Arch A Pathol Anat Histopathol, 406, pp.45~58 (1985)
- Ohta T, "Clinical experience of intrahepatic cholangiocarcinoma associated with hepatolithiasis", Jpn J Surg, 18, pp.47~53 (1988)
- Sato M, "Long-term results of hepatic resection for hepatolithiasis", HPB Surg, 9, pp.37~41 (1995)
- Hung CJ, "Role of right hepatic lobectomy in the treatment of isolated right-sided hepatolithiasis", Surgery, 121, pp.130~134 (1997)
- Otani K, "Comparison of treatments for hepatolithiasis: hepatic resection versus cholangioscopic lithotomy", J Am Coll Surg, 189, pp.177~182 (1999)
- Abdalla EK, "Monolobar Caroli’s disease and cholangiocarcinoma", HPB Surg, 11, pp.271~276 (1999)
- Akisawa N, "Primary biliary cirrhosis associated with cholangiocarcinoma", Dig Dis Sci, 43, pp.2138~2142 (1998)
- Choi BI, "Clonorchiasis and cholangiocarcinoma: etiologic relationship and imaging diagnosis", Clin Microbiol Rev, 17, pp.540~552 (2004)
- Kim YT, "Factors predicting concurrent cholangiocarcinomas associated with hepatolithiasis", Hepatogastroenterology, 50, pp.8~12 (2003)
- Wee A, "Hepatobiliary carcinoma associated with primary sclerosing cholangitis and chronic ulcerative colitis", Hum Pathol, 16, pp.719~726 (1985)
- Suh KS, "Clinicopathologic features of the intraductal growth type of peripheral cholangiocarcinoma", Hepatology, 31, pp.12~17 (2000)
- Kim HJ, "Intrahepatic cholangiocarcinoma in Korea", J Hepatobiliary Pancreat Surg, 6, pp.142~148 (1999)
- "CT differentiation of cholangiocarcinoma from periductal fibrosis in patients with hepatolithiasis", American Journal of Roentgenology, 187(2), pp.445~453 (2006), American Roentgen Ray Society
- Cheung MT, "Liver resection for intrahepatic stones", Arch Surg, 140, pp.993~997 (2005)
- "Evaluation of long-term results and recurrent factors after operative and nonoperative treatment for hepatolithiasis", SURGERY, 146(5), pp.843~853 (2009), MOSBY-ELSEVIER