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Surgical treatment of hilar cholangiocarcinoma in a new era: comparison among leading Eastern and Western centers, Leeds

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  • A new era of surgical treatment of hilar cholangiocarcinoma: comparison of leading Eastern and Western centers
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Journal of Hepato-Biliary-Pancreatic Sciences

Abstract

Objective

Surgery for hilar cholangiocarcinoma (HCCA) remains challenging, with radical procedures thought to offer the best chance of long-term survival. Here we present our data for surgical resection of HCCA for the period 2001–2008.

Methods

A prospectively maintained database was interrogated to identify all resections. Clinico-pathological data were analyzed and assessed for impact on survival.

Results

51 patients were identified. Almost three-quarters required hepatic trisectionectomy. Overall survival was 76% at 1 year, 36% at 3 years and 20% at 5 years. When R0 resection was achieved, the 5-year survival was 40%. Portal vein resection, perineural invasion and T-stage were predictive of overall survival on univariate analysis. Only T-stage remained significant on multivariate analysis. Lymph node status predicted disease-free survival.

Conclusion

Radical surgery continues to offer the prospect of long-term survival for patients with HCCA. Earlier detection and referral to tertiary centers may allow more patients to have potentially curative surgical resections.

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Authors and Affiliations

  1. HPB and Transplant Unit, Lincoln Wing, St James’s University Hospital, Leeds, LS9 7TF, UK

    Alastair L. Young, K. Rajendra Prasad, Giles J. Toogood & J. Peter A. Lodge

Authors
  1. Alastair L. Young
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  2. K. Rajendra Prasad
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  3. Giles J. Toogood
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  4. J. Peter A. Lodge
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Corresponding author

Correspondence to J. Peter A. Lodge.

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Young, A.L., Prasad, K.R., Toogood, G.J. et al. Surgical treatment of hilar cholangiocarcinoma in a new era: comparison among leading Eastern and Western centers, Leeds. J Hepatobiliary Pancreat Sci 17, 497–504 (2010). https://doi.org/10.1007/s00534-009-0203-6

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  • DOI: https://doi.org/10.1007/s00534-009-0203-6

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