Surgical Treatment of Hilar Cholangiocarcinoma: Minor or Major Liver Resection?
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Purpose
The investigators conducted a prospective study to determine the safety and efficacy of minor and major hepatectomy selected by predetermined criteria in 138 patients with hilar cholangiocarcinoma. In selected patients, minor liver resection was a good treatment.
| Condition | Intervention |
|---|---|
|
Cholangiocarcinoma Surgical Treatment Hepatectomy |
Procedure: Minor or Major Liver Resection |
| Study Type: | Interventional |
| Official Title: | Surgical Treatment of Hilar Cholangiocarcinoma: Minor or Major Liver Resection? |
- On multivariate analysis, prognostic factors significantly impacted on long-term survival were UICC tumor stage and histopathologic grade.
| Arms | Assigned Interventions |
|---|---|
| No Intervention: Control group | Procedure: Minor or Major Liver Resection |
Detailed Description:
Objective: To determine the safety and efficacy of minor and major hepatectomy selected by predetermined criteria in patients with hilar cholangiocarcinoma (HC).
Summary Background Data: For HC treated with hepatectomy, the extent of liver resection remains controversial despite extensive studies.
Methods: From January 2000 to December 2007, we prospectively studied patients who received surgical treatment for HC. Of the 187 patients who were surgically treated, 138 (73.8%) underwent resection with a curative intent. Minor hepatectomy was carried out in 93 patients who had Bismuth-Corlette types I, II and III HC without hepatic artery/portal vein invasion; and major hepatectomy in 45 patients who had type III HC with hepatic artery/portal vein invasion, or type IV HC.
Eligibility| Ages Eligible for Study: | 26 Years to 72 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Criteria for resectability were absence of peritoneal or liver metastases, tumor extension to beyond secondary biliary branches bilaterally, tumor extension to secondary portal venous branches bilaterally
Exclusion Criteria:
- not in accordance with the above criteria
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00733200 History of Changes |
| Other Study ID Numbers: | chenxp002 |
| Study First Received: | August 8, 2008 |
| Last Updated: | December 10, 2009 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Huazhong University of Science and Technology:
|
Minor Liver Resection Major Liver Resection Hilar |
Additional relevant MeSH terms:
|
Cholangiocarcinoma Klatskin's Tumor Adenocarcinoma Carcinoma |
Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms |
ClinicalTrials.gov processed this record on May 19, 2013