Abstract | OBJECTIVE: To investigate the superiority of curative resection with hemihepatectomy in treatment of hilar cholangiocarcinoma and the strategy to lower the incidence of complications and mortality. METHODS: RESULTS: Forty-one patients (56.9%) underwent surgical resection. Twenty-two (53.6%) received a radical operation (RO). Thirty patients underwent preoperative percutaneous transhepatic cholangio-drainage (PTCD) to reduce the jaundice. Curative resection with hemihepatectomy was performed on 19 cases including 14 cases undergoing RO. Two patients who had undergone hemihepatectomy died of liver failure. The postoperative morbidity rate was 62% in all 50 cases, 78% in the hemihepatectomy group. The 1- and 2-year survival rates of the hemihepatectomy group were 57.1% and 27.3% respectively. CONCLUSION: Curative resection with hemihepatectomy is a safe and effective option for hilar cholangiocarcinoma, especially for Bismuth III or IV type. Preoperative biliary drainage is necessary before a major hepatic resection.
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Authors | Yi Sun, Zhi-Yu Wu, Chun-Yi Hao, Xin-Fu Huang, Kun Wang, Quan Bao, Hong-Gang Qian, Bao-Cai Xing |
Journal | Zhonghua yi xue za zhi
(Zhonghua Yi Xue Za Zhi)
Vol. 88
Issue 8
Pg. 527-30
(Feb 26 2008)
ISSN: 0376-2491 [Print] China |
PMID | 18649767
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adult
- Aged
- Bile Duct Neoplasms
(pathology, surgery)
- Bile Ducts, Intrahepatic
(surgery)
- Cholangiocarcinoma
(pathology, surgery)
- Female
- Hepatectomy
(methods)
- Humans
- Male
- Middle Aged
- Neoplasm Staging
- Retrospective Studies
- Treatment Outcome
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