Total laparoscopic radical resection for hilar cholangiocarcinoma in 30 cases

Abstract

Objective to investigate the feasibility of laparoscopic radical resection for hilar cholangiocarcinoma. Methods From June 2016 to June 2018, 30 patients with hilar cholangiocarcinoma (HCC) underwent total laparoscopic radical resection. Results Surgery was successfully performed in all cases without conversion, 15 cases underwent hilar bile duct resection, and hilar lymph node dissection, 14 cases underwent left hemi-hepatectomy and caudate lobectomy, and 1 case underwent extrahepatic bile duct resection. The operation time was 258-336 min, (286.8±18) min, intraoperative bleeding was 60-210 ml (139.7±38.0) ml. Postoperative bile fistula occurred in 5 cases, healed conservatively after 5 days, stress ulcer in 1 case, and intestinal anastomotic bleeding in 1 case, were all cured by themselves. Postoperative hospitalization was 7-12 days (mean 8.9 d). After 6-12 months follow-up, 3 cases died of recurrent and metastatic cancer after 6 months of operation, 27 cases were alive. Conclusion Total laparoscopic radical resection of hilar cholangiocarcinoma is safe and feasible. Key words: Bile duct neoplasms; Laparoscopes