Immediate results of biliodigestive reconstruction in patients with peripheral cholangiocarcinoma with invasion of visceral veins

Abstract

Objective. To evaluate the immediate results of biliodigestive reconstruction in patients with peripheral cholangiocarcinoma with invasion of the visceral veins.
 Materials and methods. From 2004 to 2018, 28 patients with peripheral cholangiocarcinoma with invasion of the visceral veins were radically operated at the Department of Liver Transplantation and Surgery of the Shalimov National Institute of Surgery and Transplantation of the National Academy of Medical Sciences of Ukraine (now the Shalimov National Scientific Centre of Surgery and Transplantation of the National Academy of Medical Sciences of Ukraine). The main group consisted of 8 (28.6%) patients who underwent biliodigestive reconstruction simultaneously with resection and reconstruction of visceral veins, the control group consisted of 20 (71.4%) patients who underwent resection and reconstruction of visceral veins, and biliodigestive reconstruction was not performed.
 Results. Postoperative clinically significant (grade IIIa­IV according to the Clavien­Dindo classification) complications during the 90­day postoperative period were noted in 12.5% of patients in the main group and 25% of patients in the control group (p=0.002), postoperative liver failure according to the criteria of the International Study Group on Liver Surgery ­ in 25 and 30%, respectively (p=0.415). Repeat surgery was performed in 12.5 and 10% of patients, respectively (p=0.923). There was no postoperative mortality in both study groups.
 Conclusions. The immediate results of biliodigestive reconstruction in patients with peripheral cholangiocarcinoma with invasion of the visceral veins are satisfactory.