Early Gallbladder Carcinoma: A Single-Center Experience

2006 ◽  
Vol 92 (6) ◽  
pp. 487-490 ◽  
Author(s):  
Vincenzo Cangemi ◽  
Enrico Fiori ◽  
Cristina Picchi ◽  
Alessandro De Cesare ◽  
Roberto Cangemi ◽  
...  
Keyword(s):  
Gallbladder Carcinoma ◽  
Tnm Classification ◽  
Muscularis Propria ◽  
Surgical Approaches ◽  
Term Survival ◽  
Simple Cholecystectomy ◽  
Single Center Experience ◽  
Appropriate Treatment ◽  
Extended Cholecystectomy

Aims and background Controversy continues regarding the best surgical treatment for early gallbladder carcinoma defined as a tumor confined to the mucosa (pT1a) or to the muscularis propria (pT1 b) according to the TNM classification. This study evaluates the effectiveness of different surgical approaches in patients with early gallbladder carcinoma in terms of long-term survival. Materials and methods From 1980 to 2001, 175 patients with gallbladder carcinoma were admitted to our department. Fifteen of them underwent resections for early gallbladder carcinoma: 4 patients for pT1a tumors and 11 patients for pT1b tumors. All patients with pT1a tumors and 8 patients with pT1b tumors underwent simple cholecystectomy. The remaining 3 patients with pT1 b tumors underwent extended cholecystectomy. Results The 5-10 year cumulative survival rate was 100% for patients with pT1a tumors, 37.5% for patients with pT1b tumors who underwent simple cholecystectomy, and 100% for patients with pT1b tumors who underwent extended cholecystectomy. Conclusions Simple cholecystectomy is the appropriate treatment for patients with pT1a tumors, whereas patients with pT1b tumors require an extended cholecystectomy.

scholarly journals Long-Term Survival in Pediatric Heart Transplantation: A 35-Year Single-Center Experience

2021 ◽  
Vol 40 (4) ◽  
pp. S34
Author(s):  
J.W. Wen ◽  
M.E. Richmond ◽  
S.P. Law ◽  
T.M. Lee ◽  
I.D. Lytrivi ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Single Center ◽  
Term Survival ◽  
Long Term Survival ◽  
Single Center Experience ◽  
Pediatric Heart Transplantation

scholarly journals Clinical and Oncological Value of Preoperative BMI in Gastric Cancer Patients: A Single Center Experience

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Costantino Voglino ◽  
Giulio Di Mare ◽  
Francesco Ferrara ◽  
Lorenzo De Franco ◽  
Franco Roviello ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cancer Patients ◽  
Blood Proteins ◽  
Term Survival ◽  
Long Term Survival ◽  
Single Center Experience ◽  
Group B ◽  
Gastric Cancer Patients ◽  
The Impact

Introduction. The impact of preoperative BMI on surgical outcomes and long-term survival of gastric cancer patients was investigated in various reports with contrasting results.Materials & Methods. A total of 378 patients who underwent a surgical resection for primary gastric cancer between 1994 and 2011 were retrospectively studied. Patients were stratified according to BMI into a normal group (<25, group A), an overweight group (25–30, group B), and an obesity group (≥30, group C). These 3 groups were compared according to clinical-pathological characteristics, surgical treatment, and long-term survival.Results. No significant correlations between BMI and TNM (2010), UICC stage (2010), Lauren’s histological type, surgical results, lymph node dissection, and postoperative morbidity and mortality were observed. Factors related to higher BMI were male genderP<0.05, diabetesP<0.001, and serum blood proteinsP<0.01. A trend to fewer lymph nodes retrieved during gastrectomy with lymphadenectomy in overweight patients (B and C groups) was observed, although not statistically significant. There was no difference in overall survival or disease-specific survival between the three groups.Conclusion. According to our data, BMI should not be considered a significant predictor of postoperative complications or long-term result in gastric cancer patients.

scholarly journals Morbidity, mortality and long term survival in patients with vascular resection in pancreatic cancer – single center experience

Neoplasma ◽  
2017 ◽  
Vol 64 (03) ◽  
pp. 460-463 ◽  
Author(s):  
D. Pindak ◽  
M. Tomas ◽  
J. Dolnik ◽  
R. Duchon ◽  
J. Pavlendova
Keyword(s):  
Pancreatic Cancer ◽  
Vascular Resection ◽  
Single Center ◽  
Term Survival ◽  
Long Term Survival ◽  
Single Center Experience

Surgical Repair of a Sinus of Valsalva Aneurysm: A 22-Year Single-Center Experience

2019 ◽  
Author(s):  
Jun Ho Lee ◽  
Ji-Hyuk Yang ◽  
Pyo Won Park ◽  
Jinyoung Song ◽  
June Huh ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Surgical Repair ◽  
Sinus Of Valsalva ◽  
Optimal Method ◽  
Term Survival ◽  
Dual Approach ◽  
Single Center Experience ◽  
Grade Ii

Background Several reports described the repair of sinus of Valsalva aneurysms (SVAs); however, there is still debate regarding the optimal method of operation. We investigated the determinants of the development of significant aortic regurgitation (AR) and long-term survival after surgical repair. Methods Between January 1995 and December 2016, 71 patients (31 females; median age: 33.3 years) underwent surgical SVA repair with (n = 60) or without (n = 11) rupture. Aortic valvuloplasty (AVP) was performed using Trusler's technique in 28 patients (39.4%), and 11 patients (15.5%) underwent aortic valve replacement during the first operation. Results There was no early mortality, and three deaths occurred during follow-up (median: 65.4 months). Patients with grade II preoperative AR who underwent AVP tended to develop significant postoperative AR, but freedom from significant AR did not differ statistically (p = 0.387). Among patients who underwent AVP, freedom from significant AR did not differ statistically between those with grades I and II and those with grades III and IV (p = 0.460). Conclusion Surgical repair of SVA with or without rupture can be performed safely using the dual approach technique. Concomitant aortic valve repair can be performed without difficulty and should be recommended not only for patients with moderate or severe preoperative AR (grades III and IV) but also for those with minimal or mild preoperative AR (grades I and II), whose aortic valve geometry needs correction.

Impact of intraoperative staging of gastric cancer on long-term survival.

2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 302-302
Author(s):  
Keisuke Koumori ◽  
Kazuki Kano ◽  
Hayato Watanabe ◽  
Yota Shimoda ◽  
Hirohito Fujikawa ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Negative Impact ◽  
Tnm Classification ◽  
Clinical Stage ◽  
Term Survival ◽  
Long Term Survival ◽  
Preoperative Stage ◽  
The Impact ◽  
The Relationship

302 Background: The preoperative stage and intraoperative stage of gastric cancer were unified as the clinical stage in the 8th edition of the TNM classification (UICC). Although there are some reports about the relationship between preoperative stage and prognosis, the relationship between intraoperative stage and prognosis remains unclear. The aim of this study was to clarify the impact of intraoperative diagnosis and staging on long-term survival. Methods: Overall survivals were examined in 915 patients who underwent curative resection for gastric adenocarcinoma between April 2011 and March 2019 in our hospital. Results: The median age of the patients was 69 years (27-90 years), including 585 male and 330 female. The median follow-up period was 33.6 months (0.1-86.7 months). The number of the patients according to intraoperative stage were 641(70.1 %) in stageI, 15(1.6%) in stageIIA, 135(14.8%) in stageIIB, 111(12.1%) in stageIII, 12(1.3%) in stageIVA and 1(0.1%) in stageIVB. The hazard ratios of intraoperative stage for overall survival were as follows (ref: StageI); StageIIA, 6.990 (95% CI: 2.473-19.760, p < 0.001), StageIIB, 2.234 (95% CI: 1.220-4.092, p = 0.009), StageIII, 4.091 (95% CI: 2.416-6.928, p < 0.001), StageIVA, 6.061 (95% CI: 2.150-17.080, p < 0.001), StageIVB, 14.92 (95% CI: 2.035-109.3, p = 0.008). Conclusions: The survival of intraoperative StageIIA was poorer than StageIIB/III. Intraoperative positive lymph node metastasis could be negative impact of survival, even if tumor invasion was T1 or T2.

Esophageal Cancer Associated with Multiple Primary Cancers: Surgical Approaches and Long-term Survival

2013 ◽  
Vol 20 (13) ◽  
pp. 4260-4266 ◽  
Author(s):  
Geun Dong Lee ◽  
Yong-Hee Kim ◽  
Joon Bum Kim ◽  
Se Hoon Choi ◽  
Hyeong Ryul Kim ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Surgical Approaches ◽  
Multiple Primary Cancers ◽  
Term Survival ◽  
Long Term Survival ◽  
Multiple Primary

Long-term survival in multiple myeloma: a single-center experience

2008 ◽  
Vol 8 (3) ◽  
pp. 133-139 ◽  
Author(s):  
Francesca Merchionne ◽  
Pasquale Procaccio ◽  
Franco Dammacco
Keyword(s):  
Multiple Myeloma ◽  
Single Center ◽  
Term Survival ◽  
Long Term Survival ◽  
Single Center Experience

Long-term Survival in Patients Undergoing Radical Nephrectomy and Inferior Vena Cava Thrombectomy: Single-Center Experience

2010 ◽  
Vol 57 (4) ◽  
pp. 667-672 ◽  
Author(s):  
Gaetano Ciancio ◽  
Murugesan Manoharan ◽  
Devendar Katkoori ◽  
Rosely De Los Santos ◽  
Mark S. Soloway
Keyword(s):  
Inferior Vena Cava ◽  
Radical Nephrectomy ◽  
Inferior Vena ◽  
Vena Cava ◽  
Single Center ◽  
Term Survival ◽  
Long Term Survival ◽  
Single Center Experience
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