Research Article

Anatomical Resection Improved the Outcome of Intrahepatic Cholangiocarcinoma: A Propensity Score Matching Analysis of a Retrospective Cohort

Table 1

Characteristics of the patients in the two groups before and after PSM.

Before propensity matchingAfter propensity matching
NAR
(n = 137)
AR
(n = 139)
NAR
(n = 99)
AR
(n = 99)

Age (year) (n (%))0.4960.289
 ≤6094 (68.61%)90 (64.75%)70 (70.71%)63 (63.64%)
 >6043 (31.39%)49 (35.25%)29 (29.29%)36 (36.36%)

Sex (n (%))0.8260.885
 Male82 (59.85%)85 (61.15%)58 (58.59%)59 (59.60%)
 Female55 (40.15%)54 (38.85%)41 (41.41%)40 (40.40%)

HBV infection (n (%))0.8420.605
 Yes36 (26.28%)38 (27.34%)20 (20.20%)23 (23.23%)
 No101 (73.72%)101 (72.66%)79 (79.80%)76 (76.77%)

Smoke history (n (%))0.7310.874
 Yes39 (28.47%)37 (26.62%)28 (28.28%)27 (27.27%)
 No98 (71.53%)102 (73.38%)71 (71.72%)72 (72.73%)

Alcohol history (n (%))0.8310.849
 Yes25 (18.25%)24 (17.27%)17 (17.17%)16 (16.16%)
 No112 (81.75%)115 (82.73%)82 (82.83%)83 (83.84%)

RBC count (1012/L)4.37 ± 0.584.24 ± 0.520.0384.35 ± 0.604.25 ± 0.510.209
HB (g/L)129.52 ± 19.68128.11 ± 18.100.535128.59 ± 19.73127.92 ± 17.940.803

ALT (U/L) (n (%))0.1890.865
 ≤40107 (78.10%)99 (71.22%)77 (77.78%)76 (76.77%)
 >4030 (21.90%)40 (28.78%)22 (22.22%)23 (23.23%)

AST (U/L) (n (%))0.1940.736
 ≤40106 (77.37%)98 (70.50%)77 (77.78%)75 (75.76%)
 >4031 (22.63%)41 (29.50%)22 (22.22%)24 (24.24%)

ALB (g/L) (n (%))0.2070.340
 ≤3518 (13.14%)26 (18.71%)14 (14.14%)19 (19.19%)
 >35119 (86.86%)113 (81.29%)85 (85.86%)80 (80.81%)
TB (μmol/L) (n (%))0.3410.728
 ≤20.5110 (80.29%)105 (75.54%)77 (77.78%)79 (79.80%)
 >20.527 (19.71%)34 (24.46%)22 (22.22%)20 (20.20%)
BUN (mmol/L)4.84 ± 1.414.85 ± 1.620.9614.82 ± 1.424.84 ± 1.540.917
CR (μmol/L)68.30 ± 16.7268.23 ± 15.830.97268.08 ± 15.1669.16 ± 16.090.627
PT (s)13.85 ± 1.0213.75 ± 1.100.42413.90 ± 1.0513.74 ± 1.080.291
PTA (%)90.37 ± 13.3692.39 ± 14.570.23289.71 ± 13.6492.62 ± 14.050.141
APTT (s)37.27 ± 3.5737.80 ± 4.810.30237.33 ± 3.6337.67 ± 4.410.556

Child–Pugh classification (n (%))0.0460.817
 A126 (91.97%)117 (84.17%)88 (88.89%)89 (89.90%)
 B11 (8.03%)22 (15.83%)11 (11.11%)10 (10.10%)

AFP (ng/mL) (n (%))0.8380.470
 ≤40128 (93.43%)129 (92.81%)94 (94.95%)96 (96.97%)
 >409 (6.57%)10 (7.19%)5 (5.05%)3 (3.03%)

CA19-9 (U/mL) (n (%))0.3960.668
 ≤3775 (54.74%)69 (49.64%)56 (56.57%)53 (53.54%)
 >3762 (45.26%)70 (50.36%)43 (43.43%)46 (46.46%)

CEA (ng/mL) (n (%))0.6820.579
 ≤20127 (92.70%)127 (91.37%)91 (91.92%)93 (93.94%)
 >2010 (7.30%)12 (8.63%)8 (8.08%)6 (6.06%)

Cirrhosis (n (%))0.5080.576
 Yes28 (20.44%)33 (23.74%)19 (19.19%)16 (16.16%)
 No109 (79.56%)106 (76.26%)80 (80.81%)83 (83.84%)

Laparoscopic approach (n (%))0.3130.712
 Yes27 (19.71%)21 (15.11%)19 (19.19%)17 (17.17%)
 No110 (80.29%)118 (84.89%)80 (80.81%)82 (82.83%)

Robotic approach (n (%))0.9830.700
 Yes4 (2.92%)4 (2.88%)3 (3.03%)4 (4.04%)
 No133 (97.08%)135 (97.12%)96 (96.97%)95 (95.96%)

Portal vein occlusion (n (%))0.0540.054
 Yes41 (29.93%)57 (41.01%)29 (29.29%)42 (42.42%)
 No96 (70.07%)82 (58.99%)70 (70.71%)57 (57.58%)

IVC occlusion (n (%))0.8130.516
 Yes7 (5.11%)8 (5.76%)4 (4.04%)6 (6.06%)
 No130 (94.89%)131 (94.24%)95 (95.96%)93 (93.94%)

Operation time (min)134.080 ± 112.790167.990 ± 141.0300.028143.420 ± 122.812165.400 ± 135.2100.233

Intraoperative hemorrhage (mL)272.800 ± 257.337372.900 ± 473.7120.045266.230 ± 266.020375.220 ± 532.3830.094

Intraoperative transfusion (n (%))0.0230.009
 Yes7 (5.11%)18 (12.95%)3 (3.03%)13 (13.13%)
 No130 (94.89%)121 (87.05%)96 (96.97%)86 (86.87%)

Differentiation (n (%))0.8220.885
 Poor78 (56.93%)81 (58.27%)57 (57.58%)58 (58.59%)
 Well/moderate59 (43.07%)58 (41.73%)42 (42.42%)41 (41.41%)

Tumor size (cm)0.2250.153
 ≤578 (56.93%)69 (49.64%)60 (60.61%)50 (50.51%)
 >559 (43.07%)70 (50.36%)39 (39.39%)49 (49.49%)

Tumor number0.0010.228
 Singular85 (62.04%)112 (80.58%)74 (74.75%)80 (80.81%)
 Multiple52 (37.96%)27 (19.42%)25 (25.25%)19 (19.19%)

Lymph node metastasis0.0060.127
 Yes28 (20.44%)49 (35.25%)27 (27.27%)18 (18.18%)
 No109 (79.56%)90 (64.75%)72 (72.73%)81 (81.82%)

Neuron invasion0.1300.700
 Yes3 (2.19%)8 (5.76%)3 (3.03%)4 (4.04%)
 No134 (97.81%)131 (94.24%)96 (96.97%)95 (95.96%)
Necrosis0.4190.312
 Yes2 (1.46%)4 (2.88%)1 (1.01%)3 (3.03%)
 No135 (98.54%)135 (97.12%)98 (98.99%)96 (96.97%)

PVTT0.0330.651
 Yes2 (1.46%)9 (6.47%)2 (2.02%)3 (3.03%)
 No135 (98.54%)130 (93.53%)97 (97.98%)96 (96.97%)

Microvascular invasion0.3930.774
 Yes9 (6.57%)13 (9.35%)7 (7.07%)6 (6.06%)
 No128 (93.43%)126 (90.65%)92 (92.93%)93 (93.94%)

Hospital stay (day)7.61 ± 3.8610.70 ± 9.29<0.0017.85 ± 4.110.77 ± 10.030.008

HBV: hepatitis B virus, RBC: red blood cell, HB: hemoglobin, ALT: alanine aminotransferase, AST: aspartate transaminase, ALB: albumin, TB: total bilirubin, BUN: blood urea nitrogen, CR: creatinine, PT: prothrombin time, PTA: prothrombin activity, APTT: activated partial thromboplastin time, AFP: alpha-fetoprotein, CA19-9: carbohydrate antigen 19–9, CEA: carcinoembryonic antigen, IVC: inferior vena cava, and PVTT: portal vein tumor thrombosis.