Long-term Result of Radical Resection for Hilar Bile Duct Cancer
Journal of the Korean Surgical Society
;
: 242-250, 1998.
Article
in Korean
| WPRIM
| ID: wpr-152538
ABSTRACT
Sixty patients with hilar bile duct cancer were operated on during a period of nine years. The tumor was resected in 45 patients (resection rate75.0%). A hilar resection with regional lymph-node dissection was performed in 27 patients, and various types of hepatic resections were added in 18 patients. A potentially curative resection was achieved in 20 patients (curative resection rate44.4%). There were two operative deaths (operative mortality4.4%). The overall cumulative five-year survival rate was 25.6%. Six patients survived for more than five years. The survival was superior in patients with a curative resection and in those with a combined hepatic resection, but this result was statistically insignificant. Regional lymph-node metastasis, gross type, histologic grade, and perineural invasion were significant prognostic factors. We conclud that improved survival in hilar bile duct cancers can be achieved by a radical resection with acceptable morbidity and mortality.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Bile
/
Bile Duct Neoplasms
/
Bile Ducts
/
Survival Rate
/
Mortality
/
Neoplasm Metastasis
Type of study:
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Surgical Society
Year:
1998
Type:
Article
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