Original Articles
Copyright ©The Author(s) 1999. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 15, 1999; 5(2): 128-131
Published online Apr 15, 1999. doi: 10.3748/wjg.v5.i2.128
Surgical resection for hepatoportal bile duct cancer
Xiao-Shun He, Jie-Fu Huang, Li-Jian Liang, Ming-De Lu, Xiu-Hu Cao
Xiao-Shun He, Jie-Fu Huang, Li-Jian Liang, Ming-De Lu, Xiu-Hu Cao, Department of Surgery, First Affiliated Hospital of Sun Yat-Sen Univers ity of Medical Sciences, Guangzhou 510080, Guangdong Province, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Xiao-Shun He, Department of Surgery, First Affiliated Hospital of Sun Yat-Sen University of Medical Sciences, 58 Zhongshan Er Road, Guangzhou 510080, Guangdong Province, China
Received: December 22, 1998
Revised: January 20, 1999
Accepted: February 6, 1999
Published online: April 15, 1999
Abstract

AIM To discuss the effect of surgical procedures on the prognosis of patients of bile duct cancer and their indications.

METHODS A retrospective analysis was made for 52 cases of hepat oportal bile duct cancer treated from January 1991 to December 1996. All the cases were classified according to the modified Bismuth-Corlettle sys tem and received appropriate operation. Therapeutic effects were evaluated on the basis of their survival rates, jaundice elimination, comfort index, operative mortality and complications.

RESULTS Seventeen cases received surgical resection (32.7%). The survival rate was 71.4%, 35.7% and 10.4% for one, two and three years respectively, and was 30%, 16.8% and 0% for those with drainage (P < 0.05). The mortality rate was 6.0% for the drainage group and 5.9% for the resection group (P > 0.05). Of the 17 resected patients, 8 (47.1%) had curative resection and 9 (52.9%) noncurative resection. Their mean survival time was 21.1 months and 7.5 months respectively (P < 0.05).

CONCLUSION Proper surgical procedure should be used on the basis of the local and general conditions of the patients, and aggressive resection with or without liver resection is a valid procedure for the treatment of hepato portal bile duct cancer and can significantly improve the prognosis of patients.

Keywords: biliary tract neoplasms/surgery; prognosis hepatic portal