Academic Journal
Improving postoperative survival in cholangiocarcinoma: development of surgical strategies with a screening program in the epidemic region
| العنوان: | Improving postoperative survival in cholangiocarcinoma: development of surgical strategies with a screening program in the epidemic region |
|---|---|
| المؤلفون: | Vasin Thanasukarn, Tharatip Srisuk, Vor Luvira, Theerawee Tipwaratorn, Apiwat Jareanrat, Krit Rattanarak, Khanisara Kraphunpongsakul, Natcha Khuntikeo, Jarin Chindaprasirt, Thanachai Sanlung, Nittaya Chamadol, Supinda Koonmee, Prakasit Sa-Ngiamwibool, Poramate Klanrit, Arporn Wangwiwatsin, Nisana Namwat, Watcharin Loilome, Nattha Muangritdech, Piya Prajumwongs, Nobuyuki Watanabe, Tomoki Ebata, Attapol Titapun |
| المصدر: | World Journal of Surgical Oncology, Vol 22, Iss 1, Pp 1-11 (2024) |
| بيانات النشر: | BMC, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Surgery LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
| مصطلحات موضوعية: | Cholangiocarcinoma, Cholangiocarcinoma Screening and Care Program, Surgical strategies, Screening program, Survival outcome, Surgery, RD1-811, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
| الوصف: | Abstract Background The Cholangiocarcinoma Screening and Care Program (CASCAP) has been launched since 2013 to detect early-stage cholangiocarcinoma and reduce the disease death. However, the clinical utility of the CASCAP remains unclear. To compare survival outcomes between two time periods: before and after 2013, when significant changes in treatment strategies were implemented, and to evaluate the efficacy of the ultrasound-based screening program, in an Asian region endemic for cholangiocarcinoma. Methods A single-center retrospective review was conducted in curative-intended resection cholangiocarcinoma from 2002 to 2021. Patents characteristics and survival outcomes were compared between 2002 and 2013 (early period) and 2014 to 2021 (later period). Results A total of 1091 patients with intrahepatic (n = 624) or perihilar (n = 467) cholangiocarcinoma was included (early period, n = 658; later period, n = 433). Of 66 (15.2%) patients in the later period were referred by the CASCAP. The incidence of early-staged disease (Stage 0 and 1) was lower in early period compared to later period 16.0% versus 29.1% (p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1477-7819 |
| Relation: | https://doaj.org/toc/1477-7819 |
| DOI: | 10.1186/s12957-024-03573-5 |
| URL الوصول: | https://doaj.org/article/0e805294517743bb8047eeddcc7e3581 |
| رقم الانضمام: | edsdoj.0e805294517743bb8047eeddcc7e3581 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 14777819 |
|---|---|
| DOI: | 10.1186/s12957-024-03573-5 |