Surgical intervention for obstructive jaundice due to biliary tumor thrombus in hepatocellular carcinoma
| Autor: | S.Y. Peng, Hai Jun Li, Jian-wei Wang, Ying Bin Liu, Bin Xu, Xiu Jun Cai, Gui Long Deng |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Carcinoma Hepatocellular medicine.medical_treatment Liver transplantation Gastroenterology Internal medicine medicine Humans Thrombus Aged Retrospective Studies Bile duct business.industry Liver Neoplasms Jaundice Middle Aged medicine.disease Neoplastic Cells Circulating Primary tumor Surgery Jaundice Obstructive medicine.anatomical_structure Biliary tract Hepatocellular carcinoma Female Bile Ducts medicine.symptom Hepatectomy business |
| Zdroj: | World journal of surgery. 28(1) |
| ISSN: | 0364-2313 |
| Popis: | This retrospective study in eight surgically treated patients with obstructive jaundice due to biliary tumor thrombus in a patient with hepatocellular carcinoma (HCC) was performed to evaluate the role of surgical intervention. All biliary tumor thrombi were confirmed preoperatively or intraoperatively. Only two manifested intraluminal biliary obstructions due to a primary tumor that had not been found preoperatively. The operative procedures included hepatectomy with removal of the biliary tumor thrombus (n = 3), hepatectomy combined with extrahepatic bile duct resection (n = 1), thrombectomy through a choledochotomy (n = 3), and piggyback orthotopic liver transplantation (n = 1). The 1- and 3-year survival rates were 62.5% and 37.5%, respectively. Two patients survived more than 5 years. Surgical intervention was effective in patients with obstructive jaundice due to a biliary tumor thrombus in an HCC. Thus surgery for a recurrence can prolong survival, and liver transplantation is a treatment worthy of further investigation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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