作者: H. Puhalla , T. Wild , E. Bareck , H. Pokorny , M. Ploner
关键词: Medicine 、 Long term follow up 、 Resection 、 Patient survival 、 T-stage 、 Lymphatic system 、 R0 resection 、 Surgery 、 Gallbladder cancer 、 Cancer
摘要: Aims: Palliative attempts have traditionally led treatment of gallbladder cancer but resection offers the only chance for long-term survival. This study investigates impact surgery with curative intent in and evaluates prognostic factors Methods: Two hundred sixty-seven patients were admitted surgical therapy. Sixty received form basis this analysis. Results: R0 (na 45) was a highly significant independent survival predictor (P , 0.001). All 5-year survivors 10) had tumour-free margins. Early T stage (Pa 0.017) differentiated 0.008) better outcome. Nodal spreading increased by local tumour extension lymphatic involvement decreased patient 0.018). Patients’ age (.75 years) without influence on Conclusions: Long-term is possible both elderly advanced cancer. # 2002 Elsevier Science Ltd. rights reserved.