Comparison Study on the Different Drainage of Palliative Operative Style for Hilar Cholangiocarcinoma and Life Quality of PostOperation_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Haimin , DOU Kefeng , SUN Kai , GAO Zhiqing , LI Kaizong , FU Youchi

Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi’an 710032, China;

Corresponding author：

Keywords：

Hilar cholangiocarcinomaBiliary tract surgical procedurePalliative cure

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ObjectiveTo discuss the effect of palliative drainage operation on the life quality of hilar cholangiocarcinoma. MethodsCholangiocarcinoma data of our hospital in recent 21 years were analysed retrospectively. They were divided into four groups: RouxenY choledochojejunostomy group, bridge internal drainage group, PTCD (or ERBD) internal drainage group, and operative external drainage group. The operative mortality, incidence of postoperative cholangitis and survival period were compared among groups.ResultsThe total perioperative mortality of 193 cases of palliative operation was 9.3%, there was no difference among groups (P＞0.05). The rate of postoperative cholangitis in the bridge internal drainage group (10.0%) was lower than that of RouxenY choledochojejunostomy group (19.4%),P＜0.05, the rate of cholangitis in PTCD (or ERBD) internal drainage group (37.5%) and operative external drainage group (38.1%) were significantly higher than that of RouxenY choledochojejunostomy group (P＜0.01). There was no significant difference between RouxenY choledochojejunostomy group 〔(9.2±1.8) months〕 and PTCD (or ERBD) internal drainage group 〔(8.8±1.9) months〕 in survival period (P＞0.05)，but the survival period of the above groups were significantly higher than that of bridge internal drainage group 〔(6.5±1.6) months〕，P＜0.05, and operative (or PTCD) external drainage group 〔(4.3±2.0) months〕,P＜0.01.ConclusionThe life quality of RouxenY choledochojejunostomy group is better than that of bridge internal drainage group and PTCD (or ERBD) internal drainage group, the life quality of external drainage is worse than that of the other groups.

Citation： LI Haimin,DOU Kefeng,SUN Kai,GAO Zhiqing,LI Kaizong,FU Youchi. Comparison Study on the Different Drainage of Palliative Operative Style for Hilar Cholangiocarcinoma and Life Quality of PostOperation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(5): 448-450. doi: Copy

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1. 周宁新. 肝门部胆管癌的术式选择 [J]. 中国普外基础与临床杂志， 1998; 5(2)∶118.
2. Nagino M, Nimura Y, Kamiya J, et al. Segmental liver resections for hilar cholangiocarcinoma [J]. Hepatogastroenterology, 1998; 45(19)∶7.
3. 刘东,钱以德,王俊明,等.19例不能切除的老年肝门胆管癌的治疗体会 [J]. 中国普外基础与临床杂志， 2000; 7(3)∶146.
4. 卢晓明,周友生,陈道达.第Ⅲ段肝管空肠吻合治疗肝门部胆管恶性梗阻 [J]. 中国实用外科杂志， 1995; 15(12)∶743.
5. 宋轶鹏,胡立宽. 192I γ联合Ｘ线立体定向放射治疗胆管癌 [J]. 实用医学杂志， 2001; 17(11)∶1073.
6. 刘东,钱以德. 胆肠桥式吻合治疗不能切除的肝门胆管癌 [J]. 中国普外基础与临床杂志, 2000; 7(2)∶123.
7. Liu CL, Lo CM, Lai EC, et al. Endoscopic retrograde cholangiopancreatography and endoscopic endoprosthesis insertion in patients with Klatskin tumors [J]. Arch Surg， 1998; 133(3)∶293.
8. ten HoopenNeumann H, Gerhards MF, van Gulik TM,et al. Occurrence of implantation metastases after resection of Klatskin tumors [J]. Dig Surg, 1999; 16(3)∶209.
9. 岳树强,李开宗,窦科峰.中心静脉导管用于胆管癌胆道引流15例 [J]. 人民军医, 1999; 42(5)∶262.
10. 白钢,马元桂. 肝门胆管癌预后与胆道引流关系的探讨 [J]. 中国普外基础与临床杂志, 2000; 7(2)∶89.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparison Study on the Different Drainage of Palliative Operative Style for Hilar Cholangiocarcinoma and Life Quality of PostOperation

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