Impact of major vascular resection on short- and long-term outcomes in patients with intrahepatic cholangiocarcinoma.

摘要: 275Background: Major vascular (IVC or portal vein) resection for Intrahepatic Cholangiocarcinoma (ICC) has traditionally been considered a relative contraindication to resection. We sought define perioperative outcomes and survival of ICC patients undergoing liver surgery with major using multi-institutional database. Methods: 1,087 who underwent between 1990-2016 were identified from 13 participating institutions. Multivariable logistic cox regressions used determine the impact on long-term overall survival. Results: Of resection, 128(11.8%) also [21(16.4%)IVC resections, 98(76.6%)PV 9(7.0%)combined resections]. One hundred eighty-seven(17.2%) received neoadjuvant therapy. Most hepatectomy involving ≥ 3 segments(n = 664,61.1%). On final pathology, majority patient...