Palliative surgical treatment and minimally invasive biliary drainage on hilar cholangiocarcinoma effect analysis
10.3760/cma.j.issn.1673-4203.2015.11.010
- VernacularTitle:姑息性手术治疗与微创胆道减黄对肝门部胆管癌疗效分析
- Author:
Anning XIA
;
Shouxiang ZHANG
;
Yong DENG
;
Yujie FENG
;
Bingyuan ZHANG
- Publication Type:Journal Article
- Keywords:
Hilar Cholangiocarcinomabile duct neoplasms;
Palliative surgical treatmentsurgical procedures;
Minimally invasive biliary drainagedrainage;
Effectprognosis
- From:
International Journal of Surgery
2015;42(11):748-751,封4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of palliative surgical treatment and minimally invasive biliary drainage of hilar cholangiocarcinoma.Methods Retrospectively collected 244 hilar cholangiocarcinoma patients clinical data in Affiliated Hospital of Qiingdao University between Jan.1,2008 to Dec.31,2011.Survival accoding to different treatment methods was compared using Kaplan-Meier method.The continuous measurement data were analyzed using the one-way ANOVA and the U test.The categorical variable were analyzed using the chi-square test or Fisher exact test.Result Among 244 patients, the R1/R2 resection group in 93 patients, the endoscopic retrograde biviar drainage group in 69 patients, the percutaneous transhepatic cholangial drainage group in 82 patiens.Three groups of median survival time and l-, 2-, 3-year survival rate and median survival time were (13.5 months, 8.9 months, 8.6 months), (63.0％, 24.7％, 7.4％), (33.3％, 3.3％, 0), (32.4％,4.2％, 0), respectively.There was significant difference in the survival time between R1/R2-resections and endoscopic retrograde biviary drainage treatments (P ＜ 0.001).R1/R2-resections and percutaneous transhepatic cholangial drainage treatments were statistical differences in survival time (P ＜ 0.001).Endoscopic retrograde biviary drainage and percutaneous transhepatic cholangial drainage treatments were no statistical differences in survival time (P =0.971).Conclusions Palliative surgical treatment for hilar cholangiocarcinoma patients had a more significant effect.Endoscopic retrograde biviary drainage and percutaneous transhepatic cholangial drainage of minimally invasive jaundice reducing method for prognosis in patients with hilar cholangiocarcinoma was same.
