The safety and effectiveness of laparoscopic radical resection of hilar cholangiocarcinoma
10.3760/cma.j.cn113855-20191120-00672
- VernacularTitle:腹腔镜肝门部胆管癌根治术的安全性和有效性研究
- Author:
Tingting QIN
1
;
Min WANG
;
Renyi QIN
;
Feng ZHU
Author Information
1. 华中科技大学同济医学院附属同济医院胆胰外科，武汉 430030
- Keywords:
Bile duct neoplasms;
Surgical procedures,operative;
Laparoscopy
- From:
Chinese Journal of General Surgery
2021;36(10):750-755
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and effectiveness of laparoscopic radical resection of hilar cholangiocarcinoma.Methods:Data of 61 hilar cholangiocarcinom patients operated at Affiliated Tongji Hospital from Jan 2014 to Jul 2019 were analyzed. Ninteen patients underwent laparoscopic surgery (LS) and 42 underwent open surgery (OS). Perioperative complications, pathological characteristics and follow-up results were compared between LS group and OS group.Results:Operation time in LS group was significantly longer than OS group. While, the time of taking food orally was earlier, hospital and ICU stay were shorter than in OA group ( P<0.05). The higher R 0 resection rate, the more harvested lymph nodes and the positive lymph nodes were also observed in LS group than those in OS group ( P<0.05). There were no significant differences in the incidence of postoperative complications and 90-day mortality between the two groups ( P>0.05). Though, the incidence of pulmonary infection in LS group was higher than that in OS group ( P=0.015). Conclusions:Laparoscopic surgery is safe and feasible for hilar cholangiocarcinoma.
