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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1997-6-27
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pubmed:abstractText |
Between 1 January 1986 and 31 December 1994, 45 patients with carcinoma of the hepatic bifurcation underwent operations in the department of surgery. According to Bismuth's classification (1992), there were 7 type I, 4 type II, 22 type III and 12 type IV tumors. 31 of the 45 patients (68.9%) underwent surgical resections with curative intentions: resection of the hepatic bifurcation (n = 9, 29%), resection of the hepatic bifurcation with hilar liver resection (n = 7, 22.6%), resection of the hepatic bifurcation with left hemihepatectomy (n = 10, 32.3%), orthotopic liver transplantation (n = 5, 16.1%). The remaining 14 patients underwent palliative (n = 6) or diagnostic (n = 8) operations. Two of the 45 patients (4.2%) died in hospital. Histological examination demonstrated R0 resection in 17 of 31 (54.8%) of the patients, while in the remaining 14 cases, only a R1/RX resection had been achieved. One-, 2- and 5-year survival rates were 75.4%, 53.9% and 24.5% (median survival: 729 days) in the 31 resected patients, and 30.8%, 10.3% and 0% (median survival: 153 days) in the palliative treatment group. A statistically significant influence on survival could be demonstrated for nodal status (N0/N1) and residual tumor status (R0/R1, R2).
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0009-4722
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
68
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
378-84
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9206632-Adult,
pubmed-meshheading:9206632-Aged,
pubmed-meshheading:9206632-Bile Duct Neoplasms,
pubmed-meshheading:9206632-Cholestasis, Extrahepatic,
pubmed-meshheading:9206632-Female,
pubmed-meshheading:9206632-Follow-Up Studies,
pubmed-meshheading:9206632-Hepatectomy,
pubmed-meshheading:9206632-Hepatic Duct, Common,
pubmed-meshheading:9206632-Humans,
pubmed-meshheading:9206632-Klatskin's Tumor,
pubmed-meshheading:9206632-Liver Transplantation,
pubmed-meshheading:9206632-Male,
pubmed-meshheading:9206632-Middle Aged,
pubmed-meshheading:9206632-Neoplasm Staging,
pubmed-meshheading:9206632-Postoperative Complications,
pubmed-meshheading:9206632-Survival Rate,
pubmed-meshheading:9206632-Treatment Outcome
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pubmed:year |
1997
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pubmed:articleTitle |
[Malignant tumors of the hepatic bifurcation--results of surgical therapy and prognostic factors].
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pubmed:affiliation |
Chirurgische Klinik und Poliklinik, Technischen Universität München, Klinikum Rechts der Isar.
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pubmed:publicationType |
Journal Article,
English Abstract,
Review
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