2014Journal of Hepatobiliary SurgeryRequires access

The surgical management of extrahepatic bile duct carcinoma

Lin Liu

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Abstract

Aim To explore surgical management of extrahepatic bile duct carcinoma. Methods Clinical datas of 61 patients undergoing extrahepatic cholangiocarcinoma resection were analyzed retrospectively. There were 28 cases whose cholangiocarcinoma located in the mid bile duct and 33 in the distal duct. The resection rate,complications and survival rate were compared. Results The resection rate,complications and 5-year survival for the mid bile duct carcinoma were 64. 29%,14. 28%,38. 89% respectively. For the distal one,the results were 75. 76%,36%,24% respectively. There was no difference between them( P 0. 05). Conclusions There was no effective way to detect extrahepatic bile duct carcinoma early. Surgery is still the preferred method for the treatment of extrahepatic bile duct carcinoma. We do not need to discuss the mid bile duct carcinoma and distal bile duct carcinoma separately.

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Aim To explore surgical management of extrahepatic bile duct carcinoma. Methods Clinical datas of 61 patients undergoing extrahepatic cholangiocarcinoma resection were analyzed retrospectively. There were 28 cases whose cholangiocarcinoma located in the mid bile duct and 33 in the distal duct. The resection rate,complications and survival rate were compared. Results The resection rate,complications and 5-year survival for the mid bile duct carcinoma were 64. 29%,14. 28%,38. 89% respectively. For the distal one,the results were 75. 76%,36%,24% respectively. There was no difference between them( P 0. 05). Conclusions There was no effective way to detect extrahepatic bile duct carcinoma early. Surgery is still the preferred method for the treatment of extrahepatic bile duct carcinoma. We do not need to discuss the mid bile duct carcinoma and distal bile duct carcinoma separately.

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Available abstract

Aim To explore surgical management of extrahepatic bile duct carcinoma. Methods Clinical datas of 61 patients undergoing extrahepatic cholangiocarcinoma resection were analyzed retrospectively. There were 28 cases whose cholangiocarcinoma located in the mid bile duct and 33 in the distal duct. The resection rate,complications and survival rate were compared. Results The resection rate,complications and 5-year survival for the mid bile duct carcinoma were 64. 29%,14. 28%,38. 89% respectively. For the distal one,the results were 75. 76%,36%,24% respectively. There was no difference between them( P 0. 05). Conclusions There was no effective way to detect extrahepatic bile duct carcinoma early. Surgery is still the preferred method for the treatment of extrahepatic bile duct carcinoma. We do not need to discuss the mid bile duct carcinoma and distal bile duct carcinoma separately.

Key concepts: Medicine, Bile Duct Carcinoma, Bile duct, Carcinoma, Resection, Gastroenterology, Duct (anatomy), Internal medicine

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