| Surgical approaches to cholangiocarcinoma at confluence of hepatic ducts. | |
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MedLine Citation:
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PMID: 6197596 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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L H Blumgart; N S Hadjis; I S Benjamin; R Beazley |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Lancet Volume: 1 ISSN: 0140-6736 ISO Abbreviation: Lancet Publication Date: 1984 Jan |
Date Detail:
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Created Date: 1984-02-22 Completed Date: 1984-02-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 2985213R Medline TA: Lancet Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 66-70 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenoma, Bile Duct
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complications,
mortality,
surgery* Adult Aged Bile Duct Neoplasms / complications, mortality, surgery* Cholestasis / etiology Drainage / methods Female Hepatic Duct, Common* / surgery Humans Male Methods Middle Aged Palliative Care Quality of Life |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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