Impact of combined vascular resection on short and long-term results following radical surgery for hilar cholangiocarcinoma: evidence from a systematic assessment.

The difference did not reach statistical significance between the groups (OR = 1.58, 95% CI: 0.64–3.91, P = 0.33; Fig. 6 C).

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Analysis of complications reveals no statistically significant increase in the overall incidence of postoperative complications associated with vascular resection, although an increasing trend was observed.

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The most common causes of perioperative death in liver failure are severe jaundice and insufficient residual liver volume, which greatly increase the risk of death [ 14 , 17 , 18 ].Based on our findings regarding overall complication rates, combined vascular resection, particularly HAR (OR = 1.27), showed a trend towards increased risk, though this was not statistically significant.

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