Carcinoma of the hepatic hilus. Surgical management and the case for resection.

摘要: Tumor resection for treatment of carcinoma the hepatic hilus was preferred over routine palliative decompression at University Hospital Center, Rennes, France, in 1974. Since then, has been performed on 18 patients. In seven these patients proved impractical because extension a neoplasm into portal vein or liver, therefore performed. 11 (61%) tumor resection, followed by reconstruction biliary tree, successfully. All resected tumors were adenocarcinomas proximal bile ducts. Four had simple duct resection. two associated with right lobectomy, three left one patient segmentectomy, and excision branch artery. There postoperative deaths. The mean survival time remaining nine is 521 days. Five alive August 1978, intervals ranging from 175 to 1180 days after These results contrast favorably those obtained between 1968 1973, during which period decompression, deaths 164 six