Abstract:
Objective To compare the safety and short-term efficacy among conventional radical surgery, portal vein reconstruction and hepatic artery reconstruction on hilar cholangiocarcinoma.
Methods A total of 108 patients with hilar cholangiocarcinoma who underwent radical surgery were divided into three groups: group A (n=28, conventional radical surgery), group B (n=48, portal vein reconstruction) and group C (n=32, hepatic artery reconstruction). Perioperative-related indicators, postoperative complications, 1-year survival rate and lymph node metastasis among the three groups were compared.
Results The operation time, intraoperative blood loss, hospitalization time and hospitalization cost of group C were higher than those of group A and group B (all P < 0.05). There was no significant difference in the incidence of complications, lymph node metastasis rate or 1-year survival rate among three groups (all P < 0.05).
Conclusion Compare with conventional radical surgery and portal vein reconstruction, the short-term survival rate of patients treated with hepatic artery reconstruction is higher and the radical surgery resection rate could be improved, but with longer, operation time and hospitalization time, more intraoperative blood loss, and hospitalization cost.
下载:
