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首页> 外文期刊>Digestive surgery >Laparoscopic resection of Bismuth type I and II hilar cholangiocarcinoma: an audit of 14 cases from two institutions.
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Laparoscopic resection of Bismuth type I and II hilar cholangiocarcinoma: an audit of 14 cases from two institutions.

机译：腹腔镜切除I型和II型铋肺门胆管癌：来自两个机构的14例病例的审计。

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OBJECTIVE: To evaluate the feasibility and safety of laparoscopic resection of Bismuth type I and II hilar cholangiocarcinoma. BACKGROUND: Laparoscopic resection of hilar cholangiocarcinoma is uncommon. METHOD: Fourteen cases of Bismuth type I and II hilar cholangiocarcinoma were selected for laparoscopic resection. Eight cases involved local resection and 6 cases included partial hepatectomy. RESULTS: The mean operating time and blood loss were 305 min and 386 ml, respectively. The R0 resection rate was 100 and 60% in patients with type I and II lesions, respectively. The mean postoperative hospital stay was 9 days and 19 days in patients with type I and II tumor, respectively. In-hospital mortality and morbidity were 0 and 35.7% (5 of 14 patients), respectively. Bile leakage occurred in 1 of 7 (14.3%) and 3 of 5 (60%) patients with type I and II tumors, respectively. Port-site metastases were found in 2 cases of type II tumor. The survival rate during a 20-month follow-up period was 85.7% (12 of 14 patients). CONCLUSION: Laparoscopic resection is a potential alternative to open surgery for appropriately selected patients with Bismuth type I hilar cholangiocarcinoma. Due to the lower R0 resection and more complications, the value of laparoscopic resection for patients with type II tumors needs further evaluation.
机译：目的：探讨腹腔镜切除I型和II型铋管肺胆管癌的可行性和安全性。背景：腹腔镜切除肝门胆管癌并不常见。方法：选择14例I型和II型铋管肺胆管癌患者。局部切除8例，部分肝切除6例。结果：平均手术时间和失血量分别为305分钟和386毫升。 I型和II型病变患者的R0切除率分别为100％和60％。 I型和II型肿瘤患者的平均术后住院时间分别为9天和19天。住院死亡率和发病率分别为0和35.7％（14名患者中的5名）。胆汁渗漏分别发生于I型和II型肿瘤的7名患者中的1名（14.3％）和5名患者中的3名（60％）。在2例II型肿瘤中发现了端口位转移。 20个月随访期间的生存率为85.7％（14例患者中的12例）。结论：对于适当选择的I型铋门肝胆管癌患者，腹腔镜切除术可作为开放手术的替代选择。由于较低的R0切除术和更多的并发症，II型肿瘤患者的腹腔镜切除术的价值需要进一步评估。

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