Treatment Strategy for Mucin-producing Intrahepatic Cholangiocarcinoma: Value of Percutaneous Transhepatic Biliary Drainage and Cholangioscopy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1999-10

AUTHORS

Eiji Sakamoto, Naokazu Hayakawa, Junichi Kamiya, Satoshi Kondo, Masato Nagino, Michio Kanai, Masahiko Miyachi, Katuhiko Uesaka, Yuji Nimura

ABSTRACT

. Intrahepatic cholangiocarcinomas that secrete macroscopically excessive mucin into the biliary system are rare, and few of the previously reported cases have achieved a curative resection. We defined these tumors as “mucin-producing intrahepatic cholangiocarcinomas” and clarify the optimal preoperative and surgical management for them. Eleven patients with mucin-producing intrahepatic cholangiocarcinomas underwent surgical resection in our department. The clinical, radiologic, surgical, and pathologic findings were studied. The clinical presentation of the 11 patients included repeated abdominal pain, jaundice, and fever. Conventional cholangiographies, such as percutaneous transhepatic cholangiography or endoscopic retrograde cholangiography, could not offer precise information about tumor location and extension because of abundant mucin in the biliary system. Using percutaneous transhepatic biliary drainage (PTBD) and percutaneous transhepatic cholangioscopy (PTCS), we were able to drain the mucin and determine precisely the cancer extension into intrahepatic segmental bile ducts. Based on these findings, various types of liver resection with or without extrahepatic bile duct resection were planned, and 10 patients obtained curative resection. The cumulative 5-year survival rate after curative resection was 78%. In patients with mucin-producing intrahepatic cholangiocarcinoma, PTBD and PTCS are important for evaluating the cancer extension. Rational surgery based on accurate preoperative diagnosis improved the prognosis of patients with this disease. More... »

PAGES

1038-1043

References to SciGraph publications

  • 1997-06-01. Clinicopathological studies of mucin‐producing cholangiocarcinoma in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 1988-12. Value of percutaneous transhepatic cholangioscopy (PTCS) in SURGICAL ENDOSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s002689900620

    DOI

    http://dx.doi.org/10.1007/s002689900620

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1009973120

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/10512944


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