Authors experienced 54 patients with hilar bile duct cancer over a five year period from March 1988 to March 1993 at Pusan Paik Hospita. Thirty-six(66.7%) of them were treated surgically, and resection was performed at rate of 69.4%. Procedures
for
these patients included resection(n=25), biliary-enteric bypass(n=5), surgical intubation(n=6), and percutaneous biliary drainage (n=18). The operative morbidity occured in 28.0% of patients with resection, and 45.5% in those with surgical
drainage. The
operative mortality in patients with resection was 4.0%, a significantly lower percent than 8.3% of overall operative death rate. Cumulative 1 and 3-year survival rates in patients with resection was 81.4% and 43.9%, significantly higher than
26.7%
and
13.4% rates in patients with surgical drainage. Conclusively, our data showed that surgical resection offered the best possibility of prolonged survival with acceptable rate of operative morbidity and mortality. Early diagnosis with increment of
resectability is essential for the improvement of treatment results.
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