Zhang Xue Qin , Xu Xiao Lin . Clinical Effect of Lansoprazole on Patients with Gastroesophageal Reflux and the Esophageal Dynamics[J]. Journal of Kunming Medical University, 2017, 38(04): 76-79.
Citation: Liu-zheng LI, Shun LU, Shi-rong ZHANG, Lei-sheng XU, Hai-rong ZHAO, Jia-wei FENG, Xue-chan GAO, Tong WU. Curative Effect of Combined Hemihepatectomy and Perihilar Hepatectomy in Treatment of Hilar Cholangiocarcinoma[J]. Journal of Kunming Medical University, 2021, 42(10): 121-126. doi: 10.12259/j.issn.2095-610X.S20211014

Curative Effect of Combined Hemihepatectomy and Perihilar Hepatectomy in Treatment of Hilar Cholangiocarcinoma

doi: 10.12259/j.issn.2095-610X.S20211014
  • Received Date: 2021-07-24
    Available Online: 2021-10-29
  • Publish Date: 2021-10-30
  •   Objective  To summarize the curative effect of different surgical resection methods for hilar cholangiocarcinoma (HCCA).   Methods  The clinical data of 52 patients with HCCA who underwent surgery in Lincang people's Hospital from January 2015 to December 2020 were retrospectively analyzed. Among them, 36 cases were treated with hemihepatectomy/extended hemihepatectomy + total caudate lobectomy (combined hemihepatectomy group), 16 cases of hilar/perihilar region + total caudate lobectomy (perihilar resection group), The preoperative data, intraoperative blood loss, operation time, positive rate of tumor margin, postoperative hospital stay, CA19-9 value at 3 months after operation, and 1, 3-year survival rate of the two groups were compared and analyzed.   Results  The indexes of the combined hemihepatectomy group and perihepatectomy group were as following: the intraoperative blood loss [(705.5±54.3) mL vs (809.9±61.4) mL], the operation time [(240.4 ± 22.5) min vs (358.1 ± 31.1) min], the positive rate of tumor resection margin (8.3% vs 18.8%), the negative rate of CA19-9 3 months after operation (88.2% vs 73.3%), and the 1-year survival rate (58.8% vs 40.0%). The difference was statistically significant between the two groups (P < 0.05).   Conclusion  Combined hemihepatectomy and perihilar hepatectomy are effective surgical methods for HCCA, But the former has higher R0 resection rate and short-term survival rate.
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