Table 1.
Patient characteristics
| Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | |
|---|---|---|---|---|---|
| Age, years | 66 | 77 | 61 | 65 | 57 |
| Sex | Male | Female | Male | Male | Female |
| Preoperative imaging | MRCP | PET/CT (non-contrast) | MRCP | Triphasic CT | MRCP |
| MRCP | ERCP | ||||
| Radiographic abnormality | Mildly dilated cystic duct stump | No suspicious findings | No suspicious findings | Minimal thickening of cystic stump | No suspicious findings |
| Borderline enlarged lymph node | Sub-centimetre lesions in segments III and IV | ||||
| Operation | Bile duct resection | Cystic duct excision | Cystic duct excision | Bile duct resection | Cystic duct excision |
| Portal lymphadenectomy | Portal lymphadenectomy | CBD exploration with removal of stone | Portal lymphadenectomy | ||
| Partial hepatectomy segments IV and V | Partial hepatectomy segments IV and V | ||||
| Operative findings | Palpable mass at cystic duct remnant | None | CBD stone | Palpable mass at cystic duct remnant | None |
| Enlarged portal lymph nodes | No liver lesions identified | ||||
| Pathology | Cholangiocarcinoma (T2N1) | No evidence of malignancy or dysplasia | No evidence of malignancy or dysplasia | No evidence of malignancy or dysplasia | No evidence of malignancy or dysplasia |
| 4/6 nodes positive | |||||
| Status | DoD: 15.3 months | NED: 0.9 months | NED: 16.0 months | NED: 25.6 months | NED: 2.1 months |
MRCP, magnetic resonance cholangiopancreatography; PET, positron emission tomography; CT, computed tomography; ERCP, endoscopic retrograde cholangiopancreatography; CBD, common bile duct; DoD, died of disease; NED, no evidence of disease.