Experience Of Diagnosis And Treatment With Hilar Bile Duct Carcinoma

Objective:TO improve the levels of diagnosing hilar bile duct carcinoma,and evaluate the focus on surgical treatment of hilar bile duct carcinoma.Methods:Retrospective analysis of surgical management was performed on patients with hilar bile duct carcinoma in China-Japan Union Hospital between January 1996 and January 2004 years.Results: There were 37 males and 15 females in 52 cases,aged 31 to 71 years(mean 54.8 years). History is between 5 days and 3 years,mean equals 2.5 months.The tumor of 18 cases was resected.The other 13 cases,which were no resected were done with internal or external drainage.Other 9 cases,which were proformed biliary endo prostheses.Conclusion:It is still difficult to make early diagnosis in hilar bile duct carcinoma.Imaging examination played an important role in detecting hilar bile duct carcinoma,and preoperational assessing the respectability,of which ultrasonography B and CT should be the first choice,and MR including MRI and MRCP was a kind of new,safe and sensitive method.Laparotomy must be performed in all patients while there were no contraindications. The surgical resection surpasses the other therapy in the long-term curative effect,If the tumor could not be resected ,select drainage and support treatment should be chosed in order to prolong survival times and improve life quality.Radical resection should be accomplished if it is feasible. but complications after the surgical operative resection were obvious higher than other therapy.Therefore, the foreground of radical resection is still very rigorous.