Surgical Treatment for Hilar Cholangiocarcinoma:Analysis of 45 Cases

Objective:To assess the therapeutic strategies and prognostic factors that could influence the clinical out-come of hilar cholangiocarcinoma(HCC).Method:A retrospective study was conducted on 45 cases of HCC.Including,Exploration of operation 3 cases,Catheter drainage group 15 cases,Biliary enteric drainage group 13 cases,14 cases of radical resection group.The groups were compared the postoperative survival time.Result:3 cases lost the chance of operation after the exploration,1 or 3 weeks later they died of hepatic failure.Catheter drainage group mean survival time of 11.5 months:biliary enteric anastomosis group the mean survival time of 15.4 months:radical resection group the mean survival time of 22 months. The difference that Radical resection group and drainage group postoperative survival time compared was statistically significant.Conclusion:Palliative resection or drainage procedures can effectively prolong the incurable patient's life.Radical resection is the treatment choice for hilar cholangiocarcinoma.