Extended hepatectomy using preoperatively PTCD and PVE to treat patients with locally advanced hilar cholangiocarcinoma

VernacularTitle:术前经皮经肝胆道穿刺引流及门静脉栓塞联合扩大肝切除术治疗局部进展期肝门部胆管癌
Author: Jun ZHANG ; Qilu QIAO ; Wenhan WU ; Xiaoqiang TONG ; Xiaochao GUO ; Jianxun ZHAO
Keywords: Percutaneous transhepatic biliary drainage,PTCD; Portal vein embolization,PVE; Extended hepatectomy; Hilar cholangiocarcinoma,advanced
From: Chinese Journal of Hepatobiliary Surgery 2017;23(3):173-175
CountryChina
Language:Chinese
Abstract: Objective To assess the safety and efficacy of extended liver resection using preoperative PTCD (percutaneous transhepatic cholangial drainage) and PVE (portal vein embolization) to treat patients with locally advanced hilar cholangiocarcinoma.Methods We collected and analyzed the clinical data of 27 patients with Bismuth types Ⅲ and Ⅳ hilar cholangiocarcinoma who underwent extended hepatecomy using preoperative PTCD and PVE in our hospital.Results There were 21 patients with R0 resection and 6 patients with R1 resection.The mortality rate was 0％.Eight patients died of cancer recurrence.Conclusion Preoperative PTCD and PVE combined with extended hepatectomy were safe and efficacious in treating patients with locally advanced hilar cholangiocarcinoma,which resulted in potential cure.