Management of hilar cholangiocarcinoma

No Thumbnail Available

Date

2014

Journal Title

Journal ISSN

Volume Title

Publisher

Sri Lanka Medical Association

Abstract

INTRODUCTION AND OBJECTIVES: Cholangiocarcinoma (CCA) is a malignant disease involving the biliary system with majority occurring in the hilar region. Cholangiocarcinoma demands prompt management because of its aggressive nature. METHODS: Patients who presented to North Colombo Teaching Hospital- Liver Unit (NCTH- LU) and National Hospital of Sri Lanka (NHSL- GHU) from January 2011 to March 2014 were included in this study. Diagnosis was made by CT imaging, magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP). RESULTS: Total of 108 patients were diagnosed with CCA. The median age of presentation was 62 years (range 31-87). 51.4% were males. Majority (58.3%) of CCA occurred in the hilar region with rest involving the common bile duct. 76.8 % were stented and 8 patients were offered surgical treatment. Out of 62 hilar CCA 46 were classified according to the bismuth classification. 9 were type I, 8 were type II, 13 were type III and 16 were type IV. Six patients underwent hepatic resection, Majority (n=46) were stented, six were treated with radiofrequency ablation. Out of 45 patients with CBD involvement 33 were stented and 2 had Whipple's surgery. Six patients who underwent surgery are currently followed up at NCTH-LU. CONCLUSIONS: Surgery appears to be the effective treatment for cholangiocarcinoma. Aggressive palliation with stenting was beneficial.

Description

Poster Presentation Abstract (PP84), 127th Annual Scientific Sessions, Sri Lanka Medical Association, 2014 Colombo, Sri Lanka

Keywords

hilar cholangiocarcinoma

Citation

The Ceylon Medical Journal. 2014; 59(Supplement 1):87

Endorsement

Review

Supplemented By

Referenced By