Ultrasound-guided percutaneous microwave ablation versus surgical resection for recurrent intrahepatic cholangiocarcinoma: intermediate-term results

摘要: Objective The aims of this study were to compare the clinical outcomes between ultrasound-guided percutaneous microwave ablation (US-PMWA) and surgical resection (SR) in patients with recurrent intrahepatic cholangiocarcinoma (ICC) identify prognostic factors associated two treatment methods. Methods This retrospective was institutional review board approved. A total 121 (102 men 19 women) 136 ICCs after hepatectomy from April 2011 January 2017 reviewed. Fifty-six underwent US-PMWA 65 SR. Survival, recurrence liver function compared groups. Effect changes key parameters [i.e., overall survival (OS) recurrence-free (RFS)] statistically analyzed log-rank test. Univariate multivariate analysis performed on clinicopathological variables affecting long-term outcome. Results OS RFS MWA comparable that SR (p = .405, p .589, respectively). Estimated 5-year rates 23.7% 21.8% SR; for RFS, estimated 3-year 33.1% 30.6% Major complication group higher than Conclusions had oncologic could be a safe effective ICC hepatectomy.