The postoperative peak number of leukocytes after hepatectomy is a significant prognostic factor for cholangiocarcinoma

Go Shinke, Daisaku Yamada, Hidetoshi Eguchi, Yoshifumi Iwagami, Hirofumi Akita, Tadafumi Asaoka, Takehiro Noda, Kunihito Gotoh, Shogo Kobayashi, Yutaka Takeda, Masahiro Tanemura, Yuichiro Doki, Masaki Mori

Research output: Contribution to journalArticle

Abstract

Cholangiocarcinoma (CCA) is a lethal disease. A new predictive factor to identify patients suitable for adjuvant chemotherapy is needed. The relationship between the long-term prognosis and the perioperative immune responses in patients with CCA remains unclear. We therefore investigated the clinical impact of perioperative immune responses on the long-term prognosis in patients receiving hepatectomy for CCA. We investigated 81 patients who underwent hepatectomy between February 2000 and October 2012: 57 intra-hepatic CCA (iCCA) patients and 24 extra-hepatic CCA (eCCA) patients. We checked the postoperative level of C-reactive protein and the numbers of leukocytes. A multivariate analysis of the clinicopathological factors identified 2 significant risk factors for the overall survival: The postoperative maximum number of leukocytes (PNL) among patient factors (P=0.0406) and the TNM-stage among tumor factors (P=0.0059). On evaluating the distribution of each kind of leukocyte with a multivariate analysis, both the postoperative maximum number of neutrophils (PNN) and the postoperative maximum number of eosinophils (PNE) were detected as significant factors among leukocytes (PNN/PNE, P=0.0367/0.0083). In conclusion, the PNL after hepatectomy was significantly associated with the long‑term prognosis in patients with CCA. Changes in the numbers of leukocytes after hepatectomy may be a marker on treatment for CCA.

Original languageEnglish
Pages (from-to)531-540
Number of pages10
JournalMolecular and Clinical Oncology
Volume10
Issue number5
DOIs
Publication statusPublished - May 2019

All Science Journal Classification (ASJC) codes

  • Cancer Research
  • Oncology

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    Shinke, G., Yamada, D., Eguchi, H., Iwagami, Y., Akita, H., Asaoka, T., Noda, T., Gotoh, K., Kobayashi, S., Takeda, Y., Tanemura, M., Doki, Y., & Mori, M. (2019). The postoperative peak number of leukocytes after hepatectomy is a significant prognostic factor for cholangiocarcinoma. Molecular and Clinical Oncology, 10(5), 531-540. https://doi.org/10.3892/mco.2019.1827