The MEGNA Score and Preoperative Anemia are Major Prognostic Factors After Resection in the German Intrahepatic Cholangiocarcinoma Cohort.
Andreas A SchnitzbauerJohannes EberhardFabian BartschStefan M BrunnerGüralp O CeyhanDirk WalterHelmut FriesSabine HannesAndreas HeckerJun LiKarl OldhaferNuh RahbariFalk RauchfussHans J SchlittUtz SettmacherGregor StavrouJürgen WeitzHauke LangWolf O BechsteinFelix RückertPublished in: Annals of surgical oncology (2019)
Hepatic resection provides the best long-term survival in all risk groups (19-65% overall survival). The MEGNA score is a good discriminator using histopathologic items and age for stratification. Correction of anemia should be attempted in every patient who responds to treatment. Perioperative liver failure remains a clinical challenge and contributes to a relevant number of perioperative deaths.