Surgical resection of klmatskin tumor. About 6 cases
Revue Marocaine de Medecine et Sante. 2004; 21 (1): 40-45
in French
| IMEMR
| ID: emr-68274
ABSTRACT
Hilar bile duct carcinomas or klatskin's tumors are rare that represent 1.5% of the digestive cancers and their prognosis is poor with a survival until 5 years less than 3%. From 1996 to 2001, 6 patients had beneficied from a surgical resection because of a tumor of the hepatic helium. It is about 2 men and 4 women aged from 34 to 51 year-old. Three patients had suffered from biliary lithiasis and all the patients presented a retential jaundice. Surgical procedure had consisted in a resection of the extrahepatic bile ducts [6 cases], pedicular ganglial curettage [6 cases] associated to a left hepatectomy in one case. The recovery of the continuity has been based in the patients on anastomosis between a well made bile mouth and a jejunal ansa in Y shape of 70 cm. The anatomopathologic study confirmed the diagnosis of a tubulosecreting adenocarcinoma in all patients. The operative mortality has been nil and the morbidity consisted in anastomatic fistula [1 case], pleuropulmonary infection [1 case], one patient died 9 months after a tumoral relapse. The radical surgical resection is the only therapeutic that permits to hope a prolonged survival and sometimes recovery
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Bile Duct Neoplasms
/
Hepatic Duct, Common
/
Jaundice
Limits:
Female
/
Humans
/
Male
Language:
French
Journal:
Rev. Marocaine Med. Sante
Year:
2004
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