Conundrum of station 13 lymph nodes in Gallbladder Carcinoma: Retrospective tryst with a forgotten entity.

IF 2.4 3区医学 Q2 SURGERY

Updates in Surgery Pub Date : 2025-05-13 DOI:10.1007/s13304-025-02237-7

Mayank Tripathi, Kumar Vineet, Nitesh Joshi, Ankita Pal, Tejas Vispute, Akhil Kapoor, Paramita Paul

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引用次数: 0

Abstract

Gallbladder cancers are one of the lethal cancers with dismal prognosis. There is discrepancy between various biliary societies regarding extent of regional lymph nodes of gallbladder. Some consider station 13 as regional nodes, whereas others consider it as distant metastatic node. This is a retrospective analysis of disease-free survival of stage IIIB and IVB-M0 patients in gall bladder cancer with positive station 13 lymph node. Electronic medical records of patients were used to retrieve the data. The mean and median disease-free survival of gallbladder carcinoma patients with station 13 lymph-node positivity is 16.2 months (95% CI 11.57-20.85 months) and 12 months (95% CI 9.57-14.43 months), respectively. Disease-free survival of Stage IIIB and IVB-M0 gallbladder carcinoma patients with station 13 lymph-node positivity is better than overall survival of stage IVB-M1 patients and supports the inclusion of station 13 lymph node as regional lymph-nodal basin of gall bladder carcinoma. This study paves the way for a large prospective study to consider station 13 lymph node as regional lymph node in gallbladder cancer.

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胆囊癌第13站淋巴结的难题：与一个被遗忘的实体的回顾性幽会。

胆囊癌是一种预后较差的致死性癌症。不同胆道学会对胆囊区域淋巴结的分布范围存在差异。一些人认为13号站是区域性淋巴结，而另一些人认为是远处转移性淋巴结。这是一项回顾性分析13站淋巴结阳性的IIIB期和IVB-M0期胆囊癌患者的无病生存。使用患者的电子病历来检索数据。胆囊癌13站淋巴结阳性患者的平均无病生存期为16.2个月（95% CI 11.57 ~ 20.85个月），中位无病生存期为12个月（95% CI 9.57 ~ 14.43个月）。13站淋巴结阳性的IIIB期和IVB-M0期胆囊癌患者的无病生存期优于IVB-M1期患者的总生存期，支持13站淋巴结作为胆囊癌区域淋巴结盆的纳入。本研究为将13站淋巴结作为胆囊癌局部淋巴结的大型前瞻性研究铺平了道路。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Updates in Surgery Medicine-Surgery

CiteScore

4.50

自引率

7.70%

发文量

208

期刊介绍： Updates in Surgery (UPIS) has been founded in 2010 as the official journal of the Italian Society of Surgery. It’s an international, English-language, peer-reviewed journal dedicated to the surgical sciences. Its main goal is to offer a valuable update on the most recent developments of those surgical techniques that are rapidly evolving, forcing the community of surgeons to a rigorous debate and a continuous refinement of standards of care. In this respect position papers on the mostly debated surgical approaches and accreditation criteria have been published and are welcome for the future. Beside its focus on general surgery, the journal draws particular attention to cutting edge topics and emerging surgical fields that are publishing in monothematic issues guest edited by well-known experts. Updates in Surgery has been considering various types of papers: editorials, comprehensive reviews, original studies and technical notes related to specific surgical procedures and techniques on liver, colorectal, gastric, pancreatic, robotic and bariatric surgery.