Açık Akademik Arşiv Sistemi

The rationality of resectional surgery and palliative interventions in the management of patients with gallbladder cancer

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dc.contributor.authors Ercan M, Bostanci EB, Cakir T, Karaman K, Ozer I, Ulas M, Dalgic T, Ozogul Y, Aksoy E, Akoglu M
dc.date.accessioned 2020-01-17T11:59:16Z
dc.date.available 2020-01-17T11:59:16Z
dc.date.issued 2015
dc.identifier.citation Ercan M, Bostanci EB, Cakir T, Karaman K, Ozer I, Ulas M, Dalgic T, Ozogul Y, Aksoy E, Akoglu M (2015). The rationality of resectional surgery and palliative interventions in the management of patients with gallbladder cancer. Am Surg, 81(6), 599-591
dc.identifier.issn 0003-1348
dc.identifier.uri https://hdl.handle.net/20.500.12619/7021
dc.description.abstract The aim of the present study was to evaluate in a retrospective manner, the survival period and survival rate according to stages and groups after R0, R1, R2 resections and palliative interventions. Between 2003 and 2012, 67 patients diagnosed with gallbladder carcinoma were retrospectively analyzed. Patient demographics, the survival period, and survival rate according to stages and groups after R0, R1, R2 resections and palliative interventions were retrospectively analyzed. Sixty-seven patients were diagnosed with gallbladder carcinoma. Thirty-eight patients (56.7%) were female and 29 patients (43.3%) were male. The median survival period was significantly longer in stage II and III diseases than in stage IV disease (P < 0.001). The R0, R1, and R2 resection rates in patients who underwent surgery with curative intent were 67.7, 19.4, and 12.9 per cent, respectively. The R0 resection rate according to the tumor stages was 100 per cent for stage I, 87.5 per cent for stage II, 66.7 per cent for stage III, and 42.8 per cent for stage IV disease. The median follow-up period was six months (eight days to 36 months). During this follow-up period, 53 patients (79.1%) died. In conclusion, R0 resection rate decreases when tumor stage increases. The highest survival rates after R0 resection are achieved in patients with stage I, II, and III diseases. Radical surgery has no benefit over palliative surgery for stage IV disease in terms of survival.
dc.language English
dc.publisher SOUTHEASTERN SURGICAL CONGRESS
dc.subject Surgery
dc.title The rationality of resectional surgery and palliative interventions in the management of patients with gallbladder cancer
dc.identifier.volume 81(6)
dc.identifier.startpage 591
dc.identifier.endpage 599
dc.contributor.department Sakarya Üniversitesi/Tıp Fakültesi/Cerrahi Tıp Bilimleri Bölümü
dc.contributor.saüauthor Karaman, Kerem
dc.relation.journal Am Surg
dc.identifier.wos WOS:000358233400023
dc.identifier.eissn 1555-9823
dc.contributor.author Karaman, Kerem


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