Dignosis and treatment of hepatolithias associated with cholangiocarrinoma:a report of 28 Cases

VernacularTitle:肝内胆管结石合并肝内胆管癌诊治28例分析
Author: Shenbiao ZHAO ; Caide LU
Publication Type:Journal Article
Keywords: Hepatolithiasis; Cholangiocarcinoma
From: International Journal of Surgery 2010;37(7):445-447,封3
CountryChina
Language:Chinese
Abstract: Objective To improve the diagnosis and treatment of hepatolithiasis associated with cholangio-caminoma.Methods Data of 28 cases of hepatolithiasis associated with intrahepatic cholangiocarcinoma from 2005 to 2008 in Li Huili Hospital of Ningbo University Medical School were collected and analysed.Results The diagnosis was established preoperatively in 8(28.6%)cases.Twenty-one(75.0%)patients were radically resected,5(17.9%)patients received palliative operation,and other 2(7.1%)patients received exploratory surgery.In the 24 patients followed-up closely,the median survival time was 30 months in radical surgery group,8 months in palliative operation group,whereas 2 exploratory surgery cases only survived 2 months and 4 months respectively.Conclusions Cholangiocarcinoma may be related to hepatolithiasis.Early diagnosis rate is low and prognosis is poor in the cholangiocarcinoma associated with hepatolithiasis.Early radical therapy for hepatolithiasis plays an important role in preventing cholangiocarcinoma occurrence.Palliative operation for cholangiocarcinoma may improve quality of live.