Hepatectomy with portal vein resection and reconstruction in the treatment of hilar cholangiocarcinoma.
- Author:
Feng HAN
1
;
Jin-xue ZHOU
;
Ling ZHANG
;
You-zhi HAN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Bile Duct Neoplasms; pathology; surgery; Bile Ducts, Intrahepatic; Cholangiocarcinoma; pathology; surgery; Female; Follow-Up Studies; Hepatectomy; methods; Humans; Male; Middle Aged; Neoplasm Invasiveness; Portal Vein; pathology; surgery; Prognosis; Reconstructive Surgical Procedures; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Surgery 2007;45(11):763-765
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the clinical experience and the role of hepatectomy with portal vein resection and reconstruction hilar cholangiocarcinoma.
METHODSFrom 1998 to 2003, the clinical records of 118 cases with hilar cholangiocarcinoma were reviewed.
RESULTSOf the 118 patients, 66 were performed palliative treatment; and 52 patients underwent radical resection, of which 47 patients, including 11 cases combined with portal vein resection and reconstruction, underwent hepatectomy. The rate of postoperation complication was 22.9% and 27.3% in hepatectomy with or without portal vein resection and reconstruction respectively. The 1, 3-year survival rate were 85.7%, 31.4% and 81.8%, 27.8% in hepatectomy with or without portal vein resection and reconstruction respectively (P > 0.05). Only 5 patients were alive more than 3 years (7.58%), and no patient with palliative treatment lived over 5 years.
CONCLUSIONSPortal vain invasion is not the contraindication of resection for hilar cholangiocarcinoma. Hepatectomy with portal vein resection and reconstruction may raise the radical resection rate of hilar cholangiocarcinoma and improve the results of prognosis.
