Clinical application of laparoscopic radical resection of hilar cholangiocarcinoma:An analysis of 15 cases / 中国实用外科杂志

ABSTRACT

OBJECTIVE: To explore the feasibility and safety in the exploration of laparoscopic radical resection of hilar cholangiocarcinoma. METHODS: The clinical data of 15 patients who underwent radical surgery and confirmed pathologically as hilar cholangiocarcinoma from May 2013 to May 2018 at the Affiliated Hospital of North Sichuan Medical College were analyzed retrospectively. RESULTS: Operations were performed successfully in all patients. Among them,13 patients underwent pure laparoscopic surgery and 2 patients were converted to laparotomy. The operation time was(404.3±62.8) minutes. The intraoperative blood loss was(502.0±133.8) mL. The postoperative hospital stay was(9.6±2.7) days. The postoperative initial exhaust time was(3.2±0.8) days. The number of postoperative lymph nodes was detected(9.5±2.6),and 1 patient found lymph node metastasis at N2 station. Biliary leakage occurred after operation in1 patient. Large amount of ascites was found in 1 patient. Incision fat liquefaction happened in 1 patient. All of them were discharged after conservative treatments. All patients had been followed up for 6 to 60 months postoperatively until May 2018. Four patients died. CONCLUSION: Through fully preoperative evaluation and intraoperative exploration,the corresponding surgical strategy is formulated,and under the premise of strictly surgical indications,it will be relatively safe and feasible to apply laparoscopic technology to patients with hilar cholangiocarcinoma when the operation is performed by a rich-experienced surgeon.