Combind liver and hilar vascular resection for hilar cholangiocarcinoma
10.3760/cma.j.issn.1673-4203.2012.08.010
- VernacularTitle:联合肝叶及肝门部血管切除治疗肝门部胆管癌
- Author:
Mingyue XU
;
Xianjie SHI
;
Yurong LIANG
;
Shaocheng Lü
;
Tao WAN
;
Suli TONG
;
Wenzhi ZHANG
;
Jiahong DONG
- Publication Type:Journal Article
- Keywords:
Bile duct neoplasms;
Hepatectomy;
Treatment outcome;
Vascular resection;
Surgical resection
- From:
International Journal of Surgery
2012;39(8):535-538,封3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of partial hepatectomy and vascular resection in the treatment of hilar cholangiocarcinoma. Methods Seventy four patients with hilar cholangiocarcinoma who underwent hepatectomy of Chinese People' s Liberation Army from January 2008 through December 2011 were analyzed retrospectively.Results Of the 74 patients,33 underwent radical resection and 19 palliative resection,22 received internal or external drainage.In the radical resection group,the median survival time was 27 months,and the overall survival rate at 1,2 and 3 years were 79％,64％ and 49％.In the palliative resection group,the median survival time was 14 months and the overall survival rate at 1,2 and 3 years were 56％,25％,and 19％.In the drainage group,the median survival time was 9 months and the overall survival rate at 1,2 and 3 years were 23％,15％,0.Conclusions Hepatectomy combined with hilar vascular resection helps increase survival rate of patients in radical excision of hilar cholangiocarcinoma and Surgical resection is the most elective method for treatment of hepatic hilar cholangiocarcinoma,and the radical resection might improve the prognosis of the patients with hilar cholangiocarcinoma.
