Is Aggressive Surgical Palliation of Proximal Bile Duct Cancer With Involvement of Both Main Hepatic Ducts Worthwhile? | Zendy

D Wilker | Zendy; Jakob R. Izbicki | Zendy; R Rohloff | Zendy; Wolfram-T. Knoefel | Zendy; H Mandelkow | Zendy; L. Schweiberer | Zendy

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Is Aggressive Surgical Palliation of Proximal Bile Duct Cancer With Involvement of Both Main Hepatic Ducts Worthwhile?

Author(s) -

D Wilker,

Jakob R. Izbicki,

R Rohloff,

Wolfram-T. Knoefel,

H Mandelkow,

L. Schweiberer

Publication year - 1992

Publication title -

hpb surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.561

H-Index - 26

eISSN - 1607-8462

pISSN - 0894-8569

DOI - 10.1155/1992/91670

Subject(s) - medicine , liver transplantation , anastomosis , percutaneous , bile duct cancer , bile duct , surgery , palliative treatment , transplantation , palliative care , radiation therapy , radiology , nursing

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.

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