Experience of Total Laparoscopic Radical Resection of Hilar Cholangiocarcinoma: Report of 21 Cases

Abstract

Objective: To investigate the feasibility, safety and clinical effect of total laparoscopic radical resection of hilar cholangiocarcinoma. Methods: Retrospectively summarized the 21 patients with hilar cholangiocarcinoma, who underwent total laparoscopic radical resection of hilar cholangiocarcinoma in our Hospital from Oct 2017 to April 2019. Collected the clinical data of those patients, including 9 cases of Bismuth type Ⅰ,10 cases of Bismuth type Ⅱ, and 2 cases of Bismuth type Ⅲb. Results: Total laparoscopic radical resection of hilarcholangiocarcinoma were performed successfully. The procedure was finished within a time of (211.3±87.5) min and with an intraoperative blood loss of (132.3±59.1) ml.There was no death case during the perioperative period. All the patients had the R0 resection and the numbers of dissected lymph nodes were 13.4±2.7. The postoperative occurred in 2 patients, they were all cured spontaneously in one week, and there was no perioperative death.All patients were followed-up regularly within 3-24 months . One of them recurred within 12 months after the operation. The remaining patients have survived well so far. Conclusion: Under the operation of the experienced surgeon, total laparoscopic radical resection of hilar cholangiocarcinoma is safe, feasible and effective in the short term.