Intraductal papillary neoplasms of the bile duct: a European retrospective multicenter observational study (EUR-IPNB study)

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Intraductal papillary neoplasms of the bile duct: a European retrospective multicenter observational study (EUR-IPNB study)

Lluis, Nuria (författare): Miami Canc Inst, FL 33176 USA,Miami Cancer Institute at Baptist Health South Florida

Serradilla-Martin, Mario (författare): Miguel Servet Univ Hosp, Spain,Vall d'Hebron University Hospital

Achalandabaso, Mar (författare): Hosp Univ Vall dHebron, Spain,Vall d'Hebron University Hospital

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Jehaes, Francois (författare): Univ Paris Cite, France,Beaujon Hospital,Université Paris Cité

Dasari, Bobby V. M. (författare): Queen Elizabeth Hosp, England,New Queen Elizabeth Hospital

Mambrilla-Herrero, Sara (författare): Cruces Univ Hosp, Spain,Hospital de Cruces

Sparrelid, Ernesto (författare): Karolinska Institutet

Balakrishnan, Anita (författare): Cambridge Univ Hosp NHS Fdn Trust, England; Univ Cambridge, England,Cambridge University Hospitals NHS Foundation Trust,University of Cambridge

Hoogwater, Frederik J. H. (författare): Univ Groningen, Netherlands,University Medical Center Groningen,University of Groningen

Amaral, Maria J. (författare): Ctr Hosp & Univ Coimbra, Portugal; Univ Coimbra, Portugal,University Hospital of Coimbra

Andersson, Bodil (författare): Lund University,Lunds universitet,Lever-, pankreas- och gallvägskirurgi,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Hepato-Pancreato-Biliary Surgery,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Skåne University Hospital

Berrevoet, Frederik (författare): Univ Hosp Gent, Belgium,Ghent University Hospital

Doussot, Alexandre (författare): CHU Besancon, France,Centre Hospitalier Universitaire de Besancon,Karolinska University Hospital

Lopez-Lopez, Victor (författare): Clin & Univ Hosp Virgen La Arrixaca, Spain,Hospital Virgen de la Arrixaca

Alsammani, Mohammedsuror (författare): Univ Witwatersrand, South Africa,University of the Witwatersrand

Detry, Olivier (författare): Univ Liege, Belgium,University of Liège Hospital

Domingo-del Pozo, Carlos (författare): Hosp Doctor Peset, Spain,Hospital Universitario Doctor Peset

Machairas, Nikolaos (författare): Natl & Kapodistrian Univ Athens, Greece,National and Kapodistrian University of Athens

Pekli, Damjan (författare): Semmelweis Univ, Hungary,Semmelweis University

Alcazar-Lopez, Candido F. (författare): Dr Balmis Gen Univ Hosp, Spain; Alicante Inst Hlth & Biomed Res ISABIAL, Spain,Alicante University General Hospital

Asbun, Horacio (författare): Miami Canc Inst, FL 33176 USA,Miami Cancer Institute at Baptist Health South Florida

Björnsson, Bergthor (författare): Linköping University,Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US,University of the Free State

Christophides, Thalis (författare): Nicosia Gen Hosp, Cyprus,Nicosia General Hospital

Diez-Caballero, Alberto (författare): Quirurg Cirujanos Asociados, Spain,Teknon Medical Center

Francart, David (författare): CHC Grp Sante, Belgium

Noel, Colin B. (författare): Univ Free State, South Africa

Sousa-Silva, Donzilia (författare): CHU Porto, Portugal,S. António General Hospital

Toledo-Martinez, Enrique (författare): Hosp Univ Marques de Valdecilla, Spain,Hospital Universitario Marqués de Valdecilla

Tzimas, George N. (författare): Hygeia Hosp, Greece,Hygeia Hospital

Yaqub, Sheraz (författare): Oslo Univ Hosp, Norway; Univ Oslo, Norway,University of Oslo,Oslo university hospital

Cauchy, Francois (författare): Univ Paris Cite, France,Université Paris Cité,Beaujon Hospital

Prieto-Calvo, Mikel (författare): Cruces Univ Hosp, Spain,Hospital de Cruces

DSouza, Melroy A. (författare): Karolinska Inst, Sweden

Spiers, Harry V. M. (författare): Cambridge Univ Hosp NHS Fdn Trust, England; Univ Cambridge, England,University of Cambridge,Cambridge University Hospitals NHS Foundation Trust

van den Heuvel, Marius C. (författare): Univ Groningen, Netherlands,University of Groningen,University Medical Center Groningen

Charco, Ramon (författare): Hosp Univ Vall dHebron, Spain,Vall d'Hebron University Hospital

Lesurtel, Mickael (författare): Univ Paris Cite, France,Université Paris Cité,Beaujon Hospital

Ramia, Jose M. (författare): Dr Balmis Gen Univ Hosp, Spain; Alicante Inst Hlth & Biomed Res ISABIAL, Spain; Miguel Hernandez Univ, Spain,Miguel Hernández University of Elche,Alicante University General Hospital

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LIPPINCOTT WILLIAMS & WILKINS, 2023
2023
Engelska.
Ingår i: International Journal of Surgery. - : LIPPINCOTT WILLIAMS & WILKINS. - 1743-9191 .- 1743-9159. ; 109:4, s. 760-771

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Background/Purpose:Intraductal papillary neoplasm of the bile duct (IPNB) is a rare disease in Western countries. The main aim of this study was to characterize current surgical strategies and outcomes in the mainly European participating centers. Methods:A multi-institutional retrospective series of patients with a diagnosis of IPNB undergoing surgery between 1 January 2010 and 31 December 2020 was gathered under the auspices of the European-African Hepato-Pancreato-Biliary Association. The textbook outcome (TO) was defined as a non-prolonged length of hospital stay plus the absence of any Clavien-Dindo grade at least III complications, readmission, or mortality within 90 postoperative days. Results:A total of 28 centers contributed 85 patients who underwent surgery for IPNB. The median age was 66 years (55-72), 49.4% were women, and 87.1% were Caucasian. Open surgery was performed in 72 patients (84.7%) and laparoscopic in 13 (15.3%). TO was achieved in 54.1% of patients, reaching 63.8% after liver resection and 32.0% after pancreas resection. Median overall survival was 5.72 years, with 5-year overall survival of 63% (95% CI: 50-82). Overall survival was better in patients with Charlson comorbidity score 4 or less versus more than 4 (P=0.016), intrahepatic versus extrahepatic tumor (P=0.027), single versus multiple tumors (P=0.007), those who underwent hepatic versus pancreatic resection (P=0.017), or achieved versus failed TO (P=0.029). Multivariable Cox regression analysis showed that not achieving TO (HR: 4.20; 95% CI: 1.11-15.94; P=0.03) was an independent prognostic factor of poor overall survival. Conclusions:Patients undergoing liver resection for IPNB were more likely to achieve a TO outcome than those requiring a pancreatic resection. Comorbidity, tumor location, and tumor multiplicity influenced overall survival. TO was an independent prognostic factor of overall survival.

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Av författaren/redakt...: Lluis, Nuria; Serradilla-Marti ...; Achalandabaso, M ...; Jehaes, Francois; Dasari, Bobby V. ...; Mambrilla-Herrer ...; visa fler...; Sparrelid, Ernes ...; Balakrishnan, An ...; Hoogwater, Frede ...; Amaral, Maria J.; Andersson, Bodil; Berrevoet, Frede ...; Doussot, Alexand ...; Lopez-Lopez, Vic ...; Alsammani, Moham ...; Detry, Olivier; Domingo-del Pozo ...; Machairas, Nikol ...; Pekli, Damjan; Alcazar-Lopez, C ...; Asbun, Horacio; Björnsson, Bergt ...; Christophides, T ...; Diez-Caballero, ...; Francart, David; Noel, Colin B.; Sousa-Silva, Don ...; Toledo-Martinez, ...; Tzimas, George N ...; Yaqub, Sheraz; Cauchy, Francois; Prieto-Calvo, Mi ...; DSouza, Melroy A ...; Spiers, Harry V. ...; van den Heuvel, ...; Charco, Ramon; Lesurtel, Mickae ...; Ramia, Jose M.; visa färre...

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Av lärosätet: Linköpings universitet; Lunds universitet; Karolinska Institutet

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Intraductal papillary neoplasms of the bile duct: a European retrospective multicenter observational study (EUR-IPNB study)

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