The Analysis Of Correlation Factors To Life Span After Surgical Therapy To Hilar Cholangiocarcinoma

【objetive】:compare the effect of therapeutics methods to prognosis of hilar cholangiocarcinoma.【Method】:a retrospective clinical analysiswas performed on the clinical data from 108 patients with hilar cholangiocarcinoma from jan 2000 to apr 2005.the standard of radical excision is non-cancer with microscope at incised margin or it can be classified as R1.the standard of R2 is that the remain of tumor can be found with naked eyes.laparotomized drainage include T-type pipe drainage and chole- intestinal anastomosis,non-laparotomized drainage include PTBD and biliary endoprosthesisThe time to initiate follow-up is the date of surgery.the end point is date of death or the last date of investigationStatistics:dispose the data with spss13.0 to compare the all kinds of therapy to HCC.【result】:108 patients with hilar cholangiocarcinoma surgically treated in our hospital from jan 2000 to may 2003.the rate of radical resection is 33.3%(36/108),the the rate of palliative resection is36.1%(39/108)(R1,R2) In the drainage group 14 patients undergoing laparotomized drainage and 19 patients undergoing non-laparotomized respectively.The survival of patients with resection was longer than that of drainage group. among of them the patients with radical resection possess higher survival rate【Conclusion】:the method of therapy is the most important factor to prognosis.The effect of radical excision is best among laparotomized operation.The effect of palliative resection is better than that of simple by-pass operation.there is no obvious difference between the survival of laparotomized and non-laparotomized drainage...