- 期刊
IS AGGRESSIVE SURGICAL PALLIATION OF PROXIMAL BILE DUCT CANCER WITH INVOLVEMENT OF BOTH MAIN HEPATIC DUCTS WORTHWHILE?
摘要
The only curative treatment for proximal bile duct cancer with involvement of both main hepatic ducts is liver transplantation. Most patients do not fulfill the requirements for liver transplantation. Our treatment strategy in appropriate cases is palliative tumor resection and reconstruction of the biliary passage by sutureless bilioenteric anastomosis. We have treated 12 patients, 5 in combination with intraluminal and percutaneous radiotherapy. Our results indicate that this strategy leads to effective palliation in some cases provided that only microscopic residual tumor is left in-situ. Our survival times compare favourably with survival after liver transplantation.
延伸閱讀
- EMOND, J. C., MAYES, J. T., ROUCH, D. A., THISTLETHWAITE, J. R., & BROELSCH, C. E. (1989). EXPERIENCE WITH RADICAL RESECTION IN THE MANAGEMENT OF PROXIMAL BILE DUCT CANCER. HPB Surgery, 1989(), 297-307. https://doi.org/10.1155/1989/37642
- Kuo, W. H., Chen, T. P., Chien, H. P., Yen, T. C., & Chan, S. C. (2012). Misinterpretation of FDG-avid Pelvic Lymph Node Lesions as Distant Metastasis in a Patient with Recurrent Lung Cancer. 核子醫學雜誌, 25(4), 206-210. https://doi.org/10.6332/ANMS.2504.007
- Kestens, P. J., & Gigot, J. F. (1991). SURGERY, NON-SURGICAL DILATATION FOR BILE DUCT STRICTURES. HPB Surgery, 1991(), 139-141. https://doi.org/10.1155/1991/69876
- Chen, Y. F., Chiang, H. J., Lee, J. H., Chen, D. R., Lin, C. Y., Tzeng, Y. H., & Chen, R. F. (2000). Percutaneous Transhepatic Removal of Bile Duct Stones. 中華放射線醫學雜誌, 25(1), 1-5. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200002-25-1-1-5-a
- BELLI, G., ROTONDANO, G., D'AGOSTINO, A., IANNELLI, A., MARANO, I., & SANTANGELO, M. L. (1998). Cystic Dilation of Extrahepatic Bile Ducts in Adulthood: Diagnosis, Surgical Treatment and Long. Term Results. HPB Surgery, 1998(), 379-385. https://doi.org/10.1155/1998/90178