Vascular reconstruction in patients with perihilar and intrahepatic cholangicarcinoma.

Abstract

Background: The aim of this study was to describe safety and possibility of vascular reconstruction in patients with perihilar and intrahepatic cholangiocarcinoma in single hepatopancreatobiliary(HPB) clinic. Methods: 52 individuals with a diagnosis of cholangiocarcinoma (not including distal common duct cancer) during the period from 2013 to 2016 were radically operated in HPB department of Moscow Clinical Scientific Center. 16 of those had vascular resection and reconstruction, including vena cava resection in 3 patients, portal vein resection alone in 9 patients, combined hepatic artery and portal vein resection in 3 and hepatic artery resection alone in 1. Results: No significant difference was found in postoperative complications (type III-IV by Clavien-Dindo) between the vascular resection and non-vascular resection group(p>0,05). R0 resection was achieved in 70% that was significantly higher than in previous years. Mortality was 9,2%. Conclusion: New strategy as implementation of vascular resection and reconstruction for treatment of hilar and intrahepatic cholangicarcinoma are safe and can improve resection rate.