Research in the treatment of hilar cholangiocarcinoma with hemihepatectomy in 50 cases

VernacularTitle:50例半肝切除治疗肝门部胆管癌的疗效观察
Author: Weiyong YU ; Yao ZHAO ; Jingdong HE ; Xiaofei CHEN ; Xiaojuan YU
Publication Type:Journal Article
Keywords: cholangiocarcinoma,liver door; surgery; curative effect
From: Chongqing Medicine 2013;(31):3773-3775
CountryChina
Language:Chinese
Abstract: Objective To compare the clinical and follow-up results of different ways of operation for the treatment of patients with hilar cholangiocarcinoma ,and to explore its e key technology and related prognosis .Methods 31 out of 50 patients with biliary and partial liver resection(control group) ,19 patients with hemihepatectomy (observation group) .Radical resection rate and surviv-al rate were compared in the two groups .Results radical resection rate control group and observation group was 35 .48% (11/31) and 68 .42% (13/19) ,the difference was statistically significant (P=0 .014);the difference of 1 ,3 ,5 year survival rates between the two groups were statistically significant (P= 0 .03) ,observation group :85 .4% ,58 .6% ,32 .2% ,control group:86 .1% ,65 .2% , 20 .0% .Conclusion Radical resection is still the most important measures the patients for cure and long-term survival ,radical re-section rate ,survival rate ,and prognosis could be improved greatly by improving operation skills and experience accumulation ,com-bined with hepatectomy .