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Clinical and oncological benefits of left hepatectomy for Bismuth type I/II perihilar cholangiocarcinoma

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A Correction to this article was published on 18 November 2021

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Abstract

Purpose

This retrospective study aimed to clarify whether the postoperative prognosis differs between right and left hepatectomy for Bismuth type I/II perihilar cholangiocarcinoma.

Methods

Preoperative images of 195 patients with perihilar cholangiocarcinoma were reexamined. Patients with Bismuth type I/II perihilar cholangiocarcinoma without a difference in extraductal tumor invasion between the right and left sides of the hepatic portal region were classified into those undergoing left (L group) or right (R group) hepatectomy.

Results

Twenty-three patients (11.8%) were classified into the L group and 33 (16.9%) into the R group. All eight patients with pTis/1 belonged to the L group. The L group had significantly less liver failure than the R group (p = 0.001). One patient (4.3%) in the L group and four patients (12.1%) in the R group died from postoperative complications. Among 48 patients with pT2, the L group tended to have better overall survival (median, 12.2 vs. 5.6 years; p = 0.072), but not recurrence-free survival (median, 9.1 vs. 3.6 years; p = 0.477), in comparison to the R group.

Conclusions

Postoperative survival after left hepatectomy for Bismuth type I/II perihilar cholangiocarcinoma is expected to be as long as that after right hepatectomy.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, N-15, W-7, Kita-Ku, Sapporo, Hokkaido, 060-8638, Japan

    Yoshitsugu Nakanishi, Satoshi Hirano, Keisuke Okamura, Takahiro Tsuchikawa, Toru Nakamura, Takehiro Noji, Toshimichi Asano, Aya Matsui, Kimitaka Tanaka, Soichi Murakami, Yuma Ebihara, Yo Kurashima, Yusuke Watanabe & Toshiaki Shichinohe

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  1. Yoshitsugu Nakanishi
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  2. Satoshi Hirano
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  3. Keisuke Okamura
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  4. Takahiro Tsuchikawa
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Correspondence to Yoshitsugu Nakanishi.

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The original online version of this article was revised: Reference 12 was published incorrectly in the original publication. Reference 12 has been updated in original publication.

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Nakanishi, Y., Hirano, S., Okamura, K. et al. Clinical and oncological benefits of left hepatectomy for Bismuth type I/II perihilar cholangiocarcinoma. Surg Today 52, 844–852 (2022). https://doi.org/10.1007/s00595-021-02401-7

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  • DOI: https://doi.org/10.1007/s00595-021-02401-7

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