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10.1016/j.hpb.2015.07.008

http://scihub22266oqcxt.onion/10.1016/j.hpb.2015.07.008
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C4750224!4750224!26776844
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suck abstract from ncbi


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pmid26776844      HPB+(Oxford) 2016 ; 18 (1): 1-6
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  • A systematic review of safety and efficacy of hepatopancreatoduodenectomy for biliary and gallbladder cancers #MMPMID26776844
  • Zhou Y; Zhang Z; Wu L; Li B
  • HPB (Oxford) 2016[Jan]; 18 (1): 1-6 PMID26776844show ga
  • Objectives: To review the evidence on the safety and efficacy of hepatopancreatoduodenectomy for biliary and gallbladder cancers. Methods: Medline and EMBASE were systematically searched for papers of hepatopancreatoduodenectomy in patients with biliary and gallbladder cancers. Results: Eighteen studies involving 397 patients were reviewed. Major hepatectomy was undertaken in 81.3% of the 397 patients and the R0 resection rate was 71.3%. The morbidity and mortality rates were 78.9% and 10.3%, respectively. The 5-year overall survival rate ranged from 3% to 50% (median = 31%). The 5-year survival rate in patients who underwent curative resection was 18?68.8% (median = 51.3%), and 0% in patients who received non-curative resection. Conclusions: Hepatopancreatoduodenectomy is a challenging procedure with high morbidity and mortality rates. However, this procedure can provide a chance of long-term survival in patients in whom curative resection is feasible.
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