Surgical intervention of hepatocellular carcinoma with bile duct thrombi / 中华外科杂志
Chinese Journal of Surgery
; (12): 169-171, 2003.
Article
in Zh
| WPRIM
| ID: wpr-300058
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVES</b>To summarize the experience of surgical intervention for hepatocellular carcinoma (HCC) with bile duct thrombi (BDT), and to evaluate the influence on prognosis.</p><p><b>METHODS</b>From 1994 to 2002, 15 patients with HCC and BDT who underwent surgical intervention were retrospectively analyzed.</p><p><b>RESULTS</b>The operative procedures included hepatectomy with removal of BDT (n = 7), hepatectomy combined with extrahepatic bile duct resection (n = 4), thrombectomy through choledochotomy (n = 3), and piggy-back orthotopic liver transplantation (n = 1). The 1- and 3-year survival rates were 73.3% and 40%, respectively. Two patients survived over 5 year. The survival rate of patients with portal vein invasion was significantly lower than that of patients without portal vein invasion (P < 0.05).</p><p><b>CONCLUSIONS</b>Surgical intervention was effective for patients with HCC and BDT. Operation after recurrence can prolong the survival time. Liver transplantation is a new operative procedure worthy of study.</p>
Full text:
1
Database:
WPRIM
Main subject:
Prognosis
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General Surgery
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Thrombosis
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Bile Duct Neoplasms
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Retrospective Studies
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Liver Transplantation
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Carcinoma, Hepatocellular
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Liver Neoplasms
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adult
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Aged
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Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Surgery
Year:
2003
Document type:
Article