Surgical resection for hepatic hilar cholangiocarcinoma

Objective To summarize the experience in surgical resection for hepatic hilar cholan- giocarcinoma.Methods The clinical and follow-up data of 83 patients with hepatic hilar cholangiocar- cinoma receiving surgical resection in our hospital in the past 9 years were retrospectively analyzed. Results Of the 83 patients,31 underwent radical resection and 52 palliative resection.After the oper- ation,29 patients had complications and 5 died.In the radical resection group,the median survival time was 21.5 months and the 1-,3-and 5-year survival rates were 79.6%,43.3% and 25.9%,re- spectively,which were significantly higher than those in the palliative resection group(P0.05).In recent 5 years,the rate of tumor radical resection has increased from 25% to 44.8% and the median survival time from 12.1 to 18.7 months(P0.05).Conclusions Improvement of patient preopera- tive condition,pathological examination during the operation and combined liver resection may help in increasing the radical resection rate and reducing postoperative morbidity and mortality.The radical resection can prolong and improve the survival time of the patients and ensure the better outcome.