Experience in resection of hilar cholangiocarcinoma: a report of 54 cases / 中华外科杂志
Chinese Journal of Surgery
; (12): 441-444, 2006.
Article
in Zh
| WPRIM
| ID: wpr-317137
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the experience in ameliorating curative resection rate and major postoperative complication rate for treatment of hilar cholangiocarcinoma.</p><p><b>METHODS</b>Respective analysis was made on the clinical data of 54 consecutive cases who underwent resection of hilar cholangiocarcinoma from Jan. 1998 to Dec. 2004.</p><p><b>RESULTS</b>In this group 54 cases received tumor resection with a resection rate of 63.5%. Combined partial hepatectomy was performed in 14 patients, while combined pancreaticoduodenectomy (Whipple) in 3 patients, and combined resection of portal vein in 2 patients and combined resection of hepatic artery in 2 patients. Thirty patients had curative resection. The curative resection rate was greatly increased from 27.0% (before 2001) to 41.7% (after 2001) in this group with well controlled perioperative mortality and postoperative complications rate (e.g. hepatic failure and major infection). The gross 1-, 2-, and 3-year survival rates for the whole group were 67.4%, 28.1% and 13.5% respectively. The 1-, 2-, and 3-year survival rates for curative resection were 87%, 36% and 24% respectively. The 1-, 2-year survival rates for palliative resection were 42% and 18%.</p><p><b>CONCLUSIONS</b>Enhanced surgical technique resulted in better clinical outcomes.</p>
Full text:
1
Database:
WPRIM
Main subject:
Postoperative Complications
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General Surgery
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Bile Duct Neoplasms
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Bile Ducts, Intrahepatic
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Anastomosis, Roux-en-Y
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Biliary Tract Surgical Procedures
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Survival Rate
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Retrospective Studies
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Mortality
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Pancreaticoduodenectomy
Type of study:
Observational_studies
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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:
2006
Document type:
Article