Clinical study on operative effect of surgical treatment for hilar cholangiocarcinoma
- VernacularTitle:肝门部胆管癌手术疗效的临床研究
- Author:
Junhong HU
;
Juncong SUN
;
Zhaohui SHI
- Publication Type:Journal Article
- Keywords:
Bile duct neoplasms;
Radical resection;
Palliative resection;
External drainage
- From:
Chinese Journal of Hepatobiliary Surgery
2008;14(7):477-479
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of surgical treatment for hilar cholangio-carcinoma. Methods The clinical data of 89 patients with hilar cholangiocarcinoma surgically treated in our hospital were retrospectively analyzed. They were divided into 3 groups: radical resection(group A,n=23),palliative resection (group B,n=44) and external drainage operation (group C,n=22). Complications,operative mortality,survival rate and posttreatment quality of lire were compara-tively analyzed among the 3 groups. Results The rate of complications was significantly higher in group A than in group C (P<0.05). There was no marked difference in operative mortality between group A and group B (P>0.05). The 1-,2-and 3-year survival rates and scoring of quality of life were remarkably higher in group A than in other 2 groups (P<0. 001 and 0. 05). Conclusion Radical re-section of hilar cholangiocarcinoma can improve the long-term survival and significantly enhance quality of life of the patients after operation. For patients receiving unradical resection, palliative surgical man-agement can improve the long-term survival and enhance quality of life.
