Survey of the extra-hepatic cholangiocarcinoma patients undergoing surgeries from a tertiary hospital in Guangzhou from 2005 to 2014

Abstract

Objective To investigate the hospitalization of extra-hepatic cholangiocarcinoma patients undergoing surgeries, and to provide information for improving patients’ feeling and strengthening hospital management. Methods An investigation was conducted by means of the retrospective survey. The data of patients suffering from cholangiocarcinoma in a tertiary hospital in Guangzhou from 2005 to 2014 was collected, including gender, age, pathological type, treatment results, hospitalization days and costs and so on. Results The number of male cases was 271(60.9%), and female cases was 174 (39.1%), the ratio of male: female was 1.56∶1. The age range was from 21-93 years old, and the average age was (59.7±13.83), including 140 cases of > 50-60 years old (31.46%), 132 cases of > 60-70 (29.67%), 121 cases of > 70- < 80 (27.19%). The main histological type was adenocarcinoma (90.3%), and the cure rates of inflammatory carcinoma and signet ring cell carcinoma were the highest(100.0%). The main mangement of cholangiocarcinoma was radical resection,with the cure rate of surgery 40.22% during the 10 years. For upper cholangiocarcinoma, hospitalization stay before and after operation were respectively (11.16±6.12)days and (21.16±11.23) days, with an average of (33.35±10.11) days. Average hospitalization cost was (56 852.54±21 325.32) yuan and proportion of drug fees up to (40.86±9.23)%. While for middle and lower cholangiocarcinoma,the respective hospitalization stay were (10.29±9.77) days and (20.27±8.26)days, average hospital stay was (30.56±11.23) days, hospitalization cost (73 401.76±42 816.24) yuan, and proportion of drug fees (40.86±9.23)%. Conclusion Middle aged males should be aware of cholangiocarcinoma. Curative effect for cholangiocarcinoma improves year by year in this hospital, and the increase of hospitalization expenses is reasonable. Key words: Cholangiocarcinoma; Factor analysis; Statistics; Code analysis