Appraisal of surgical treatment for pT2 XXXX .

@entity1 @entity5 @entity3 @entity1086
This retrospective study was designed to appraise the surgical procedures for pT2 @entity1086 . Twenty @entity1 with pT2 @entity1086 underwent surgical resection. Hepatectomy of segments 4b and 5 was performed in 19 @entity1 , and an extended right hepatic lobectomy was performed in 1. The extrahepatic bile duct was preserved in 8 @entity1 in whom the disease was limited to the GB fundus and/or body. Regional lymphadenectomy was performed in 18 @entity1 . A separate radical second operation was performed in 8 @entity1 after cholecystectomy. Final pathological staging was stage IB in 15 @entity1 , IIB in 4, and IV in 1. Overall 5-year survival rate in those 20 @entity1 was 77% without operative deaths. The 5-year survival rate in 5 @entity1 with nodal @entity3 and in 8 @entity1 without extrahepatic biliary resection was 80% and 100%, respectively. A separate radical second operation in 8 @entity1 yielded 75% survival after 5 years. Perineural invasion as a prognostic determinant was closely associated with @entity5 extending to the neck or the cystic duct. Partial hepatectomy, usually with extrahepatic biliary resection and regional lymphadenectomy, was appropriate as a standard radical operation for pT2 @entity1086 , but preservation of extrahepatic bile duct is advocated for disease limited to the GB fundus and/or body. Radical second operation enhanced the chance for cure in @entity1 with pT2 @entity1086 .
