Details

Autor(en) / Beteiligte

• Zhou, Ning-xin
• Huang, Zhi-qiang
• Zhang, Wen-zhi
• Huang, Xiao-qiang
• Wang, Jing
• Liu, Rong
• Ji, Wen-bin
• Xiao, Mei
• Meng, Xiang-fei

Titel

Surgical treatment of 402 consecutive cases for hilar cholangiocarcinoma: Chinese single center experience

Ist Teil von

• Chung-hua wai kʿo tsa chih, 2006-12, Vol.44 (23), p.1599-1603

Ort / Verlag

China

Erscheinungsjahr

2006

Link zum Volltext

Quelle

Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals

Beschreibungen/Notizen

• To analyze clinical typing, pathologic characteristics of hilar cholangiocarcinoma (HCCA) and surgical strategies and their effects on HCCA, and to explore the factors that influence the surgical outcomes and long-term survival. The data of the 402 patients with HCCA admitted between January 1993 and December 2004 was investigated retrospectively. Primary outcomes examined included clinical typing, pathologic characteristics, surgical procedures and follow-up results. On the basis of Bismuth-Corlette typing, we defined the tumor originated from intrahepatic large bile duct (LBD) as type V (type Va and Vb). Among the 402 patients with HCCA, 198 cases accepted curative resection, 102 (51.5%) for radical resection and 96 (48.5%) for palliative resection. Of the rest patients, 8 received orthotopic liver transplantation (OLT), 161 received simple drainage and 35 were not operated on. The resection rates for type I, II, IIIa, IIIb, IV, Va and Vb were 69.4%, 55.5%, 57.4%, 71.7%, 19.6%, 100% and 34.6%, respectively.