A case matched study on laparoscopic versus open radical resection for Bismuth-type Ⅲb hilar cholangiocarcinoma
10.3760/cma.j.issn.1007-631X.2019.05.001
- VernacularTitle:全腹腔镜与开腹Bismuth-Ⅲb型肝门胆管癌根治术的临床研究
- Author:
Wei CHAI
1
;
Zhiquan ZHANG
;
Bao LEI
;
Yu MENG
;
Xiulei ZHAO
;
Lei ZHANG
;
Ruhai LIU
Author Information
1. 沧州市中心医院普通外科
- Keywords:
Bile duct neoplasms;
Laparoscopes;
Comparative effectiveness research
- From:
Chinese Journal of General Surgery
2019;34(5):377-380
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and feasibility of laparoscopic radical resection of Bismuth-type Ⅲb hilar cholangiocarcinoma.Methods The clinical data of 109 patients with Bismuth-type Ⅲ b hilar cholangiocarcinoma in the Department of General Surgery of Cangzhou Central Hospital from Jan 2015 to Feb 2018 were retrospectively analyzed.Among those 17 patients undergoing total laparoscopic surgery were compared with 17 open cases.Results There were significant differences between the laparoscopic group and the control group in operation time [(420.8 ± 136.5) min vs (292.3 ± 65.6) min],total length of incision [(8.2 ± 4.7) cm vs (20.4 ± 5.8) cm],incidence of postoperative complications [29.4％ (5/17) vs 52.9％ (9/17)],postoperative feeding time,postoperative ICU stay and postoperative hospital stay (P ＜ 0.05).There were no significant difference in the amount of bleeding[(325.2 ± 98.7)ml vs(367.4 ±72.9)ml],pathological results,number of lymph node dissection,R0 resection rate and tumor recurrence rate (P ＞ 0.05).Conclusion Total laparoscopic radical resection of Bismuth-type Ⅲ b hilar cholangiocarcinoma is safe,feasible,and has the advantages of minimal invasion and rapid recovery.
