EurekaMag.com logo
+ Translate

Extended right hepatic lobectomy left hepatic lobectomy and skeletonization resection for proximal bile duct cancer


, : Extended right hepatic lobectomy left hepatic lobectomy and skeletonization resection for proximal bile duct cancer. World Journal of Surgery 12(1): 52-59

Tumors in the proximal third of the bile duct are associated with the lowest rates of resectability and poorest survival of tumors in all locations in the duct. Of 25 patients who underwent resection for tumors located proximally, 3 had extended right hepatic lobectomy, 6 had left hepatic lobectomy, and 16 had skeletonization resection. The operative mortality rate was 4% overall and 0 for patients undergoing hepatic resection. Actuarial survival at 1, 3, and 5 years was 84%, 44%, and 35%, respectively, with almost all patients dying with disease. Survival was longer for patients who had curative resection than for those who had palliative resection. Survival was longer after hepatic lobectomy than after skeletonization resection but was not statistically significant. Survival for the 25 patients who underwent resection compared favorably with the survival of 131 patients treated by strictly palliative procedures, and the quality of life for patients with resection was also improved. We conclude that aggressive resection for cure is the procedure of choice in selected patients with proximal bile duct cancer, but that it must be performed with low operative mortality. Current patient selection and operative techniques are described.

Order PDF Full Text

Close
Close

Click here to order any other PDF Full Text


Accession: 005432668

PMID: 2449770

DOI: 10.1007/bf01658486

Download PDF Full Text: Extended right hepatic lobectomy left hepatic lobectomy and skeletonization resection for proximal bile duct cancer


Submit PDF Full Text

No spam - Every submission is manually reviewed

Due to poor quality, we do not accept files from Researchgate

Submitted PDF Full Texts will always be free for everyone
(We only charge for PDFs that we need to acquire)

Select a PDF file:
Close
Close

Other references

Vovcenko, I. V., 1952: Winter barley in the Odessa province.. Pallidum-17, a productive and hardy winter barley developed at the Odessa Institute, was tolerant of - 26 degrees C in trials conducted at the institute in 1949-1950.

Hanson V.L., 1982: Use of orthographic structure by deaf adults recognition of finger spelled words. Deaf adults' access to English word structure was tested in a task requiring letter report for finger-spelled words, orthographically regular nonsense words (pseudowords) and orthographically irregular nonsense words (nonwords). Deaf subjects...

Caldeira, K.M.; Kasperski, S.J.; Sharma, E.; Vincent, K.B.; O'Grady, K.E.; Wish, E.D.; Arria, A.M., 2010: College students rarely seek help despite serious substance use problems. The prevalence of substance use disorders (SUD) and aspects of the help-seeking process among a high-risk sample of 946 students at one large public university were assessed in personal interviews during the first 3 years of college. After statist...

Chanard, J.; Bader, C.; Assailly, J.; Funck-Brentano, J.L., 1973: Determination of plasma digitoxin. Comparison between the method by 86 Rb erythrocyte incorporation and radioimmunoassay. Pathologie-Biologie 21(7): 725-730

Muller, F. J., 2005: Practitioners experience with Mycoplasma bovis outbreaks - dairy cows. Mastitis due to infection with Mycoplasma bovis is a fairly common occurrence in large, expanding dairy herds. While mycoplasma infections eventually show up in almost all herds, including "closed" herds, it is more commonly seen in herd...

Holmes, D.; Perron, A., 2007: Violating ethics: unlawful combatants, national security and health professionals. Journal of Medical Ethics 33(3): 143-145

Wang, Yue Hao; Chollet, Raymond, 1993: In vitro phosphorylation of purified tobacco-leaf phosphoenolpyruvate carboxylase. C-3-leaf phosphoenolpyruvate (PEP) carboxylase (PEPC) was purified about 1,000-fold from tobacco and displayed a final specific activity of 35 mu-mol/min/mg protein, an apparent K-m (total PEP) of 95 mM (both at pH 8.0, 30 degree C), and an I-50(L...

Noll, H., 1956: Aus Leben und Forschung von E H Zollikofer. Ber naturw Ges St Gallen, 753: 1-96

LOFFLER, W., 1957: Percussion and auscultation phenomena demonstrated on a glass of beer and a word on clinical instruction. Schweizerische Medizinische Wochenschrift 87(44): 1337-1339

Proisl, K.; Kafka, S.; Urankar, D.; Gazvoda, M.; Kimmel, R.; Košmrlj, J., 2015: Fischer indolisation of N-(α-ketoacyl)anthranilic acids into 2-(indol-2-carboxamido)benzoic acids and 2-indolyl-3,1-benzoxazin-4-ones and their NMR study. N-(α-ketoacyl)anthranilic acids reacted with phenylhydrazinium chloride in boiling acetic acid to afford 2-(indol-2-carboxamido)benzoic acids in good to excellent yields and 2-indolyl-3,1-benzoxazin-4-ones as by-products. The formation of the lat...