Prognostic factors for operated gallbladder cancer

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dc.contributor.authorÖven Ustaalıoğlu, Bala Başak
dc.contributor.authorBilici, Ahmet Erkan
dc.contributor.authorŞeker, Mesut Metin
dc.contributor.authorKefeli, Umut
dc.contributor.authorAydın, Dinçer
dc.contributor.authorÇelik, Serkan
dc.contributor.authorDemir, Tarık
dc.contributor.authorErkol, Burçak
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:36:51Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:36:51Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description15th International Conference on Frontiers of Information Technology, FIT 2017 -- 18 December 2017 through 20 December 2017 -- 134341
dc.description.abstractPurpose: The prognosis of gallbladder cancer is poor. Lymph node metastasis and the stage are known to be the strongest prognostic factors for survival. The aim of this study was to determine the importance of complementary surgery and other prognostic factors for survival of operated gallbladder cancer. Material and Method: We retrospectively analyzed 62 localized gallbladder cancers. The prognostic factors for survival were evaluated by univariate and multivariate analysis. Results: The 3-year overall survival (OS) and disease-free survival (DFS) rates were 52.8 and 43.5%, respectively. Totally, 37 patients (59.6%) were diagnosed incidentally during simple cholecystectomy which was performed for benign causes but only 56.4% of them underwent complementary surgery. 51.6% of the recurrence was detected during 18.4 months of follow-up time. R0 resection, T stage, and pathological stage were found to be related with both OS and DFS by univariate analysis. Grade, lymph node metastasis, and adjuvant chemotherapy were also related with DFS. Presence of recurrence, recurrence side, performance score (PS), and perineural invasion (PNI) were related with OS. Peritoneal metastasis, advanced stage disease, and lymph node metastasis were more common among patients who did not undergo complementary surgery. Adjuvant chemotherapy was given more frequently to patients who undergone complementary surgery group. The multivariate analysis indicated that grade, lymph node metastasis, stage, recurrence site, PS, and adjuvant chemotherapy stage were independent prognostic factors for DFS on the other and only stage was a prognostic factor for OS. Conclusion: Our results showed that incidental diagnosis or complementary surgery was not related with DFS or OS but stage was only an independent prognostic factor for both OS and DFS in resected gallbladder cancer.
dc.identifier.citationÖven Ustaalıoğlu, B. B., Bilici, A. E., Şeker, M. M., Kefeli, U., Aydın, D., Çelik, S. ve Erkol, B. (2019). Prognostic factors for operated gallbladder cancer. Journal of Gastrointestinal Cancer, 50(3), 451-457. https://dx.doi.org/10.1007/s12029-018-0099-y
dc.identifier.doi10.1007/s12029-018-0099-y
dc.identifier.endpage457
dc.identifier.issn1941-6628
dc.identifier.issn1941-6636
dc.identifier.issue3
dc.identifier.scopusqualityQ3
dc.identifier.startpage451
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1271
dc.identifier.urihttps://dx.doi.org/10.1007/s12029-018-0099-y
dc.identifier.volume50
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherHumana Press Inc.
dc.relation.ispartofJournal of Gastrointestinal Canceren_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectCancer
dc.subjectGallbladder
dc.subjectOperation
dc.subjectPrognostic Factors
dc.titlePrognostic factors for operated gallbladder cancer
dc.typeArticle

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