Comparison of clinical efficacy between laparoscopic and open radical resection of hilar cholangiocarcinoma
10.3760/cma.j.cn113855-20220421-00264
- VernacularTitle:腹腔镜与开腹肝门部胆管癌根治术的临床疗效对比
- Author:
Cheng ZHANG
1
;
Dongjun AN
;
Yang WANG
;
Lin YANG
;
Jintao WANG
;
Li HAN
;
Baoguo ZHAO
;
Boqiang HAN
;
Yao XU
;
Jincheng HE
Author Information
1. 西安交通大学医学部附属咸阳市中心医院肝胆外科，咸阳 712000
- Keywords:
Hilar cholangiocarcinoma;
Laparoscopy;
Survival rate
- From:
Chinese Journal of General Surgery
2023;38(1):17-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of total laparoscopic surgery vs. open surgery for hilar cholangiocarcinoma. Methods:The clinical data of 45 patients undergoing laparoscopic radical resection of hilar cholangiocarcinoma and 42 patients by open surgery from Mar 2017 to Mar 2021 were retrospectively analyzed.Results:There was no significant difference in demographics, Bismuth classification and excision extension between the two groups (all P>0.05). The laparoscopic surgery used longer time ( t=-1.366, P<0.05). The intraoperative blood loss, number of lymph node dissection and postoperative hospital stay favored laparoscopic method( t=0.043, t=0.026, t=-1.852, P<0.05). R 0 radical resection rate，postoperative complications were also in favor of laparoscopic surgery ( χ2=3.216, χ2=2.566, all P<0.05). There was no significant difference in postoperative pathology and in hospital expenses (all P>0.05). The 1- and 3-year survival rate of the laparoscopic group was superior (all P<0.05). Conclusions:In spite of longer operational time，patients in laparoscopic hilar cholangiocarcinoma radical resection group have shorter postoperative in hospital stay and longer postoperative survival time.
