Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma
Introduction. The purpose of this study was to analyse the value of 3-dimensional computed tomography cholangiography (3D-ERC) compared to conventional retrograde cholangiography in the preoperative diagnosis of hilar cholangiocarcinoma (HC) with special regard to the resection margin status (R0/R1)...
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| Format: | Article |
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2017-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2017/1947023 |
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| author | A. Andert P. Bruners C. Heidenhain F. Ulmer C. D. Klink P. H. Alizai C. Kuhl U. P. Neumann M. Binnebösel |
| author_facet | A. Andert P. Bruners C. Heidenhain F. Ulmer C. D. Klink P. H. Alizai C. Kuhl U. P. Neumann M. Binnebösel |
| author_sort | A. Andert |
| collection | DOAJ |
| description | Introduction. The purpose of this study was to analyse the value of 3-dimensional computed tomography cholangiography (3D-ERC) compared to conventional retrograde cholangiography in the preoperative diagnosis of hilar cholangiocarcinoma (HC) with special regard to the resection margin status (R0/R1). Patients and Methods. All hepatic resections performed between January 2011 and November 2013 in patients with HC at the Department of General, Visceral and Transplant Surgery of the RWTH Aachen University Hospital were analysed. All patients underwent an ERC and contrast-enhanced multiphase CT scan or a 3D-ERC. Results. The patient collective was divided into two groups (group ERC: n=17 and group 3D-ERC: n=16). There were no statistically significant differences between the two groups with regard to patient characteristics or intraoperative data. Curative liver resection with R0 status was reached in 88% of patients in group ERC and 87% of patients in group 3D-ERC (p=1.00). We could not observe any differences with regard to postoperative complications, hospital stay, and mortality rate between both groups. Conclusion. Based on our findings, preoperative imaging with 3D-ERC has no benefit for operative planning and R0 resection status. It cannot replace the exploration by an experienced surgeon in a centre for hepatobiliary surgery. |
| format | Article |
| id | doaj-art-8afa54f3d67c4b4b8b5b87121c096bcb |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-8afa54f3d67c4b4b8b5b87121c096bcb2025-02-03T07:25:27ZengWileyGastroenterology Research and Practice1687-61211687-630X2017-01-01201710.1155/2017/19470231947023Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar CholangiocarcinomaA. Andert0P. Bruners1C. Heidenhain2F. Ulmer3C. D. Klink4P. H. Alizai5C. Kuhl6U. P. Neumann7M. Binnebösel8Department of General, Visceral and Transplantation Surgery, RWTH Aachen University Hospital, Aachen, GermanyDepartment of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, GermanyDepartment of General and Visceral Surgery, Sana Hospital Düsseldorf-Gerresheim, Düsseldorf, GermanyDepartment of General, Visceral and Transplantation Surgery, RWTH Aachen University Hospital, Aachen, GermanyDepartment of General, Visceral and Transplantation Surgery, RWTH Aachen University Hospital, Aachen, GermanyDepartment of General, Visceral and Transplantation Surgery, RWTH Aachen University Hospital, Aachen, GermanyDepartment of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Aachen, GermanyDepartment of General, Visceral and Transplantation Surgery, RWTH Aachen University Hospital, Aachen, GermanyDepartment of General, Visceral and Transplantation Surgery, RWTH Aachen University Hospital, Aachen, GermanyIntroduction. The purpose of this study was to analyse the value of 3-dimensional computed tomography cholangiography (3D-ERC) compared to conventional retrograde cholangiography in the preoperative diagnosis of hilar cholangiocarcinoma (HC) with special regard to the resection margin status (R0/R1). Patients and Methods. All hepatic resections performed between January 2011 and November 2013 in patients with HC at the Department of General, Visceral and Transplant Surgery of the RWTH Aachen University Hospital were analysed. All patients underwent an ERC and contrast-enhanced multiphase CT scan or a 3D-ERC. Results. The patient collective was divided into two groups (group ERC: n=17 and group 3D-ERC: n=16). There were no statistically significant differences between the two groups with regard to patient characteristics or intraoperative data. Curative liver resection with R0 status was reached in 88% of patients in group ERC and 87% of patients in group 3D-ERC (p=1.00). We could not observe any differences with regard to postoperative complications, hospital stay, and mortality rate between both groups. Conclusion. Based on our findings, preoperative imaging with 3D-ERC has no benefit for operative planning and R0 resection status. It cannot replace the exploration by an experienced surgeon in a centre for hepatobiliary surgery.http://dx.doi.org/10.1155/2017/1947023 |
| spellingShingle | A. Andert P. Bruners C. Heidenhain F. Ulmer C. D. Klink P. H. Alizai C. Kuhl U. P. Neumann M. Binnebösel Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma Gastroenterology Research and Practice |
| title | Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma |
| title_full | Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma |
| title_fullStr | Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma |
| title_full_unstemmed | Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma |
| title_short | Impact of Preoperative Three-Dimensional Computed Tomography Cholangiography on Postoperative Resection Margin Status in Patients Operated due to Hilar Cholangiocarcinoma |
| title_sort | impact of preoperative three dimensional computed tomography cholangiography on postoperative resection margin status in patients operated due to hilar cholangiocarcinoma |
| url | http://dx.doi.org/10.1155/2017/1947023 |
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