Document Detail

Surgical approaches to cholangiocarcinoma at confluence of hepatic ducts.
MedLine Citation:
PMID:  6197596     Owner:  NLM     Status:  MEDLINE    
Analysis of the surgical management of 94 consecutive patients with carcinoma at the confluence of the hepatic ducts showed that 20% of them (or 60% of those thought, after comprehensive pre-operative investigation, to have resectable lesions) underwent tumour resection--6 local resections and 12 liver resections. The 30-day hospital mortality was 11% and mean duration of survival was 17 months (7 patients are still alive, with a mean survival of 22.2 months). The quality of life was also much improved after resection. In patients treated with palliative surgery the hospital mortality was 33% and the mean survival was 8.5 months. The results support the treatment of bile-duct carcinoma at the hilum of the liver by resection and suggest that the use of drainage techniques, whether employed surgically or non-surgically, be reserved until the possibility of treatment by resection has been fully considered.
L H Blumgart; N S Hadjis; I S Benjamin; R Beazley
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lancet     Volume:  1     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1984 Jan 
Date Detail:
Created Date:  1984-02-22     Completed Date:  1984-02-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  66-70     Citation Subset:  AIM; IM    
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MeSH Terms
Adenoma, Bile Duct / complications,  mortality,  surgery*
Bile Duct Neoplasms / complications,  mortality,  surgery*
Cholestasis / etiology
Drainage / methods
Hepatic Duct, Common* / surgery
Middle Aged
Palliative Care
Quality of Life

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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