ORiginal Article : Incidence of Cholangiocarcinoma with or without Previous Resection of Liver for Hepatolithiasis
분야
의약학 > 내과학
저자
( Joon Young Lee ) , ( Jae Seon Kim ) , ( Ji Mi Moon ) , ( Sang Ah Lim ) , ( Wonho Chung ) , ( Eun Hye Lim ) , ( Beom Jae Lee ) , ( Jong Jae Park ) , ( Young Tae Bak )
발행기관
대한소화기기능성질환·운동학회(구 대한소화관운동학회)
간행물정보
Gut and Liver 2013년, 제7권 제4호, 475~479페이지(총5페이지)
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19201998.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    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 47 months. 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. (Gut Liver 2013; 7:475 479)
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