ABSTRACT
Objective To analyze the clinical data of patients with hilar cholangiocarcinoma (HCCA),and to compare the therapeutic effects of different methods on treating these patients.Methods The clinical data of 101 patients with HCCA in China-Japan Union Hospital of Jilin University were analyzed.Results The overall 1-year and 2-year survival rates in the radical operation group were 95.5％ and 40.9％,respectively.There was a significant difference between the radical operation group and the palliative resection group (P ＜ 0.05).The overall 1-year and 2-year survival rates in the palliative resection group were 75.0％ and 16.7％,respectively,which were much better than those in patients treated with PTCD,biliary stent on open abdominal biliary drainage (P ＜ 0.05).There were no significant differences among the PTCD,biliary stent and open abdominal biliary drainage groups (P ＞ 0.05).Conclusions Radical HCCA resection is still the best and the first choice treatment for patients with HCCA.The therapeutic effects of radical operation were much better than those of palliative resection,biliary stent,PTCD and open abdominal biliary drainage.
ABSTRACT
Objective To investigate the effects of different operative models of hilar cholangiocarcinoma (HCCA) and its clinical significance. Methods The clinical data on 24 patients with HCCA were analyzed retro-spectively. Results 11 cases experienced surgical resection with 9 to 32 months of survival time. 13 cases were per-formed biloenteral draining with 1.5 to 17 months of survival time. There was no operative mortality. Conclusions The operative effects of HCCA is closely related to the operative models. A complete preoperative evaluation, appropri-ate operative model and high excision rate are very important for improving therapeutic effects.