Controversial issues in surgical management of hilar cholangiocarcinoma
10.3760/cma.j.issn.1007-8118.2011.02.003
- VernacularTitle:肝门部胆管癌外科诊疗中存在争议的若干问题
- Author:
Yongjie ZHANG
- Publication Type:Journal Article
- Keywords:
Hilar cholangiocarcinoma;
Surgery;
Multidisciplinary treatment;
Prognosis
- From:
Chinese Journal of Hepatobiliary Surgery
2011;17(2):88-91
- CountryChina
- Language:Chinese
-
Abstract:
Hilar cholangiocarcinoma should be identified from other malignant tumors and/or benign disease involving the hilum which may present similar image features.Clinal stage need to be further studied. Radical resection should be recommended in multidisciplinary treatment of hilar cholangiocarcinoma. The patients who were received initial surgical drainage and/or local recurrence after initial surgical resection of hilar cholangiocarcinoma, should actively be given the opportunity of radical reoperation, with potential long-term survival. Extended surgical resection resulted in increased rate of R0 resections and significantly improved survival. However, it also significantly increased the risk of serious postoperative complications, which must be balanced between survival advantage and surgical risk.
