Comprehensive treatment of cholangiocarcinoma complicated with obstructive jaundice

A.M. Tishchenko, J.V. Avdosev, N.N. Brytska, O.J. Lavrenteva

Abstract


The paper deals with the analyzed results of treatment of 45 patients with cholangiocarcinoma complicated with obstructive jaundice. It has been proved the effectiveness of percutaneous transhepatic endobiliary interventions as the first or the final stage of the surgical treatment of these patients, following by the aggressive surgical strategy that involves major hepatectomy combined with total caudal lobectomy, resection of the extrahepatic biliary tract and extensive lymph node dissection (D2–D3) as the second stage of surgery.

Keywords


cholangiocarcinoma; obstructive jaundice; surgical treatment

References


Treatment of unresectable cholangiocarcinoma with gemcitabine-based transcatheter arterial chemoembolization (TACE): a single-institution experience / Gusani N.J., Balaa F.K., Steel J.L. [et al.] // Journal of Gastrointestinal Surgery. 2008. — Vol. 12(1). — Р. 129-137.

Surgical treatment of hilar cholangiocarcinoma in the “new era”: the Nagoya University experience / T. Igami, H. Nishio, T. Ebata [et al.] // J. Hepatobiliary Pancreat. Sci. — 2010. — Vol. 17. — P. 449-454.

Klatskin G. Adenocarcinoma of the hepatic duct at its bifurcation within the porta hepatic: an unusual tumor with distinctive clinical and pathological features / Klatskin G. // Amer. J. Med. — 1965. — Vol. 38. — P. 241-256.

Major hepatectomy for perihilar cholangiocarcinoma / M. Unno, Y. Katayose, T. Rikiyama [et al.] // J. Hepatobiliary Pancreat. Sci. — 2010. — Vol. 17. — P. 463-469.

Surgical treatment of hilar cholangiocarcinoma in the new era: the Asan experience / S.G. Lee, G.W. Song, S. Hwang [et al.] // J. Hepatobiliary Pancreat. Sci. — 2010. — Vol. 17(4). — P. 476-489.

Seidensticker R. Integration of chemoembolization and radioembolization into multimodal treatment of cholangiocarcinoma / Seidensticker R., Ricke J., Seidensticker M. // Best Pract. Res. Clin. Gastroenterol. — 2015. — Vol. 29(2). — P. 319-32.

Zhang W. Perihilar cholangiocarcinoma: Current therapy / Zhang W., Yan L.N. // World J. Gastrointest. Pathophy­siol. — 2014. — Vol. 5(3). — P. 344-354.

Simultaneous biliary drainage and portal vein embolization before extended hepatectomy for hilar cholangiocarcinoma: preliminary experience / Guiu B., Bize P., Demartines N. [et al.] // Cardiovasc. Intervent. Radiol. — 2014. — Vol. 37. — P. 698-704.

Percutaneous bilateral metallic stent placement using a stentin-stent deployment technique in patients with malignant hilar biliary obstruction / Gwon D.I., Ko G.Y., Kim J.H. [et al.] // Am. J. Roentgenol. — 2013. — Vol. 200. — P. 909-914.

Tumour size over 3 cm predicts poor short-term outcomes after major liver resection for hilar cholangiocarcinoma. By the HC-AFC-2009 group / Regimbeau J.M., Fuks D., Pessaux P. [et al.] // HPB. — 2015. — Vol. 17(1). — P. 79-86.

Long-term survival following extended hepatectomy with concomitant resection of all major hepatic veins for intrahepatic cholangiocarcinoma: report of a case / Kobayashi S., Igami T., Ebata T. [et al.] // Surg. Today. — 2015. — Vol. 45(8). — P. 1058-63.




DOI: https://doi.org/10.22141/1997-2938.1.32.2017.98486

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