Title: Risk factors and survival analysis of combined vascular resection and reestablishment in progressive stage of hilar cholangiocarcinoma excision
Abstract: Objective:To study application situation of combined vascular resection (VR) and reestablishment (RM) in progressive stage of hilar cholangiocarcinoma excisionin progressive stage of hilar cholangiocarcinoma excision. Method: From January 2007 to January 2013, there had atotal of 50 cases of hospital patients were diagnosed as HC, whichwas given HC radical surgery combined VR andRMregimen. Itwas grouped in the observation group, another chose 55 cases of patients with liver health test over the same period as the control group. The HC disease was done univariate and multivariate analysis, and compared survival of different stage of HC patient. Results: The observation group's rate of bile duct stones, gallstones, cholecystectomy, biliary ascariasis, liver fluke disease, schistosomiasis and other aspects of liver were significantly higher than the control group, the differences were statistically significant(P0.05). With Logistic regression analysis based on a total of six factors as risk factors, mainly was: common bile duct stones, bile duct stones, gallstones, cholecystectomy, biliary ascariasis and dry schistosomiasis disease. After 5 years of follow-up, lost one case, the remaining 49 cases were followed up. Ⅳ type of HC patients' 1-year survival rate was 88.9%(8/9), 3-year survival rate was 55.6%(5/9), 5-year survival rate was 33.3%(3/9). Ⅲ type of HC patients' 1-year survival ratewas 97.6%(40/41), 3-year survival rate was 82.9%(34/41), 5-year survival rate was 70.7%(29/41). Conclusion: HC radical mastectomy combined VR and RM in the treatment of advanced HC, can significantly improve the survival rate of patients and prolong survival time,which has a significant effect, it isworthy of recommendation.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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