Experience from surgical resection for 48 cases of hilar cholangiocarcinoma / 中华外科杂志
Chinese Journal of Surgery
; (12): 1138-1141, 2009.
Article
in Zh
| WPRIM
| ID: wpr-299714
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the methods, safety and efficiency of surgical resection for hilar cholangiocarcinoma.</p><p><b>METHODS</b>The clinical and follow-up data of 48 patients with hilar cholangiocarcinoma underwent surgical resection from January 2003 to December 2007 were analyzed retrospectively. There were 26 male and 22 female, aged from 38 to 72 years old with a mean of 63.6 years old.</p><p><b>RESULTS</b>Perioperative management including percutaneous transhepatic biliary drainage applied in 19 cases and portal vein embolization applied in 2 cases. Eight patients were treated with extrahepatic bile duct resection with or without parital hepatic segment II resection, 10 cases with perihilar hepatic resection (segment IVB, partial V, partial VIII, I), 28 cases with extended hemihepatectomy and 2 cases with central hepatic resection (segment IVB, V, VIII, I). R0 resection rate was 89.5% and the operative mortality was 2.1%. The 1-, 3- and 5-year survival rate were 93.5%, 51.8% and 36.5%, respectively. Patients undergoing extended hepatic resection survived significantly longer than those undergoing partial hepatic resection (P = 0.034).</p><p><b>CONCLUSIONS</b>Extended hepatic resection for hilar cholangiocarcinoma offers good outcomes with an acceptable mortality rate.</p>
Full text:
1
Index:
WPRIM
Main subject:
Prognosis
/
General Surgery
/
Bile Duct Neoplasms
/
Bile Ducts, Intrahepatic
/
Retrospective Studies
/
Follow-Up Studies
/
Treatment Outcome
/
Cholangiocarcinoma
/
Hepatectomy
/
Methods
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Zh
Journal:
Chinese Journal of Surgery
Year:
2009
Type:
Article