[
Abstract]
[
Full Text HTML]
[
Full Text PDF] （in Japanese / 614KB）
[Members Only] J.Jpn. Surg. Soc.. 120(6): 671-675, 2019
Feature topic
BILIARY TRACT CANCER REGISTRATION
The National Clinical Database (NCD) was established in April 2010 with surgical subspecialty societies on a platform of the Japan Surgical Society. The database has a 3-story structure of:A, statistical surveys;B, medical evaluation surveys;and C, clinical research. Among items included under B2, 30-day mortality and operative mortality rates for hepatectomy and pancreatoduodenectomy related to biliary cancer and analyses of short-term prognosis have been published. The odds ratios of 30-day mortality and operative mortality rates with hepatectomy are reported to be 4.1 and 3.2, respectively, for gallbladder cancer patients and 2.5 and 2.0, respectively, for hilar region bile duct cancer patients. Those respective mortality rates with pancreatoduodenectomy for gallbladder cancer patients are reported to be 1.0％ and 1.1％, for hilar bile duct cancer patients 2.2％ and 4.4％, for extrahepatic bile duct cancer patients 1.7％ and 3.5％, and for ampulla cancer patients 1.5％ and 3.2％. The prognosis for biliary tract cancer patients improved as the duration approaches the present, as reported by national biliary cancer registries at different times. In the future, it may also be desirable to utilize the NCD for evaluating long-term prognosis.
To read the PDF file you will need Adobe Reader installed on your computer.