Surgical management of 552 carcinomas of the extrahepatic bile ducts (gallbladder and periampullary tumors excluded). Results of the French Surgical Association Survey.

摘要: Five hundred fifty-two cases of primary carcinoma the extrahepatic bile ducts (gallbladder and periampullary tumors excluded) collected from 55 surgical centers were reviewed retrospectively. Three seven patients (56%) had upper-third lesions (proximal carcinoma), whereas 71 (13%) 101 (18%), respectively, middle-third lower-third duct carcinomas. The remaining diffuse lesions. Resectability rates 32% for localization compared to 47% 51% localization, respectively. operative mortality rate proximal carcinomas was significantly lower with resection (16%) palliative surgery (31%) (p less than 0.05). Overall 1-year survival (operative deaths 68% after tumor 31% 0.001). Long-term results correlated local regional extension disease. this study show that carcinomas, particularly in an often is associated worthwhile long-term survival.