Table 4.
Presentation of synchronous cancer according to Todani subtype of bile duct cyst (BDC)
| Type I+IVb BDC | Type IVA BDC | p value | |
|---|---|---|---|
| Patients with cancer | 19 | 6 | 0.8072 |
| Median age (years) | 47 (22–70) | 51 (30–67) | 0.8622 |
| Previous cyst enterostomy | n = 5 | n = 1 | 1.0000 |
| Location of cancer | 0.8915 | ||
| • Gallbladder | n = 7 | n = 0 | |
| • Extrahepatic bile duct | n = 5 | n = 3 | |
| • Intrahepatic bile duct | n = 0 | n = 3 | |
| • BDC | n = 6 | n = 0 | |
| • Pancreas | n = 1 | n = 0 | |
| Presence of pancreatobiliary malunion | 0.9796 | ||
| • Not explored | n = 6 | n = 3 | |
| • Abnormal | n = 10 | n = 1 | |
| • Normal | n = 3 | n = 2 | |
| Type of surgery | 0.5996 | ||
| • No resection (carcinomatosis) | n = 1 | n = 1 | |
| • BDC resection | n = 7 | n = 0 | |
| • BDC resection + hepatectomy | n = 6a | n = 3 | |
| • BDC resection + pancreaticoduodenectomy | n = 5 |
n = 2b |
|
| Mortality and Morbidity | 0.8859 | ||
| • Grade 1 | n = 3 | n = 1 | |
| • Grade 2 | n = 2 | n = 1 | |
| • Grade 3 | n = 4 | n = 1 | |
| • Grade 4 | n = 0 | n = 1 | |
| • Grade 5 (death) | n = 1 | n = 0 | |
| Staging of tumour (UICC)c | – | 0.9144 | |
| • Stage 0 | n = 2 | n = 1 | |
| • Stage IA | n = 3 | n = 1 | |
| • Stage IB | n = 5 | n = 1 | |
| • Stage IIA | n = 4 | n = 1 | |
| • Stage IIB | n = 3 | n = 1 | |
| • Stage III | n = 0 | n = 0 | |
| • Stage IV | n = 2 | n = 1 | |
| Median follow-up time (months) (range) | 12.5 (3–34) | 12 (6–88) | 1.0000 |
| Status at final follow-up | 0.7472 | ||
| • Alive without complications | n = 9 | n = 3 | |
| • Alive with complications | n = 1 | n = 1 | |
| • Alive with cancer recurrence | n = 1 | n = 0 | |
| • Death related to cancer | n = 6 | n = 2 | |
| • Death related to disease complications | n = 1 | n = 0 | |
| • Death not related to disease complications | n = 0 | n = 0 |
One patient underwent central hepatectomy 6 months after chemotherapy.
One patient underwent pancreatectomy+hepatectomy.
UICC staging (www.uicc.org) 7eme edition distal extrahepatic duct BDC bile duct cyst.