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Investigation of surgical treatment for cholangiocellular carcinoma

  • Toshimichi Nakayama
  • Hideki Saitsu
  • Kazuharu Shigetomi

Abstract

Cholangiocellular carcinoma (CCC), the malignant tumor arising from epithelial cells of the intrahepatic bile duct, has been classified as a primary liver cancer, although CCC has occurred less frequently than hepatocellular carcinoma (HCC) in Japan [1]. Most CCCs are advanced because a system for early diagnosis has not been established [2], and even though CCC is resectable, the prognosis is generally unfavorable [3–5]. We therefore studied clinically the 36 patients with CCC encountered at our hospital, and reported the current status of surgical treatment in Japan.

Keywords

Bile Duct Liver Cancer Hepatic Resection Curative Resection Intrahepatic Bile Duct 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Japan Liver Cancer Research Society, 9th National Primary Liver Cancer Follow-up Report (1987). Kyoto, Shinko Publishing pp 1–118Google Scholar
  2. 2.
    Motoo Y, Kobayashi K, Hatori S (1987) Diagnostic system for liver cancer. Liver, Bile, Pancreas 15: 321–326Google Scholar
  3. 3.
    Igarashi K, Nakanishi M, Sano S, Konno T, Kasai Y, Morita Y (1984) Clinical aspect and therapy of Cholangiocarcinoma. Jpn J Gastroenterol Surg 17: 2179–2184CrossRefGoogle Scholar
  4. 4.
    Kobayashi T, Mimura H, Kim H, Takakura N, Hamazaki K, Tsuge K, Gouchi A, Takeuchi K, Funabiki S, Orita K (1987) Diagnosis and extension pattern of cholangiocellular carcinoma. Jpn J Gastroenterol Surg 20: 2572–2578CrossRefGoogle Scholar
  5. 5.
    Tsunoda T, Koga M, Tokunaga S, Eto T, Matsumoto T, Segawa T, Motoshima K, Izawa K, Tsuchiya R (1989) Diagnosis and surgical treatment of cholangiocarcinoma. Diagnostic imaging of the abdomen 9: 1034–1041Google Scholar
  6. 6.
    Japan Liver Cancer Research Society: Treatment Guidelines for Primary Liver Cancer (1987) (Revised 2nd edition). Tokyo, Kanehara PublishingGoogle Scholar
  7. 7.
    Japan Liver Cancer Research Society: 5th National Primary Liver Cancer Follow-up Reports (1979). Kyoto, Shinko Publishing pp 1–42Google Scholar
  8. 8.
    Japan Liver Cancer Research Society: 6th National Primary Liver Cancer Follow-up Reports (1981). Kyoto, Skinko Publishing pp 1–100Google Scholar
  9. 9.
    Okuda K, Kubo Y, Okazaki N, Arishima T, Hashimoto M, Jinnouchi S, Sawa Y, Sjhimokawa Y, Nakajima Y, Noguchi T, Nakano M, Kojiro M Nakashima T (1977) Clinical aspects of intrahepatic bile duct including hilar carcinoma: A study of 57 autopsy-proven cases. Cancer 39: 232–246PubMedCrossRefGoogle Scholar
  10. 10.
    Nimura Y, Hayakawa N, Kamiya J, Kondo S, Shionoya S (1990) Hepatic segmentectomy with caudate lobe resection for bile duct carcinoma of the hepatic hilus. World J Surg 14: 535–544PubMedCrossRefGoogle Scholar
  11. 11.
    Mimura H, Kim H, Takakura K, Hamazaki K, Ochiai Y, Sakumoto S, Ozawa T, Orita K (1987) Radical block resection of complete hepatoduodenal ligament for bile duct carcinoma. Surgery 41: 161–165Google Scholar
  12. 12.
    Kumada K, Ozawa K, Shimahara Y, Morikawa S, Okamoto R, Moriyasu F (1990) Truncoumbilical bypass of the portal vein in radical resection of biliary tract tumor involving the hepatic duct confluence. Br J Surg 77: 749–751PubMedCrossRefGoogle Scholar
  13. 13.
    Walter JF, Bookstein J, Bouford EV (1976) Newer angiographic obstructions in cholangiocarcinoma. Radiology 118: 19–23PubMedGoogle Scholar
  14. 14.
    Kinami Y, Miyazaki I, Kurachi M, Takashima S, Shinmura K, Shinno B (1979) A study on operative results of carcinoma of the intrahepatic bile duct and the main hepatic bile duct junction and clinical features of patients with multiple carcinoma of the bile duct. Jpn J Gastroenterol Surg 12: 908–913CrossRefGoogle Scholar
  15. 15.
    Iwasaki Y, Todoroki K (1980) Intraoperative radiotherapy for carcinoma of the bile duct at the hepatic hilus. J Bil Pane 11: 857–863Google Scholar
  16. 16.
    Tani M, Yahata K, Mikuriya S, Mamiya T, Asano M (1984) Radiotherapy for unresectable bile duct carcinoma at hepatic hilus. J Bil Pane 5: 1539–1549Google Scholar

Copyright information

© Springer-Verlag Tokyo 1992

Authors and Affiliations

  • Toshimichi Nakayama
    • 1
  • Hideki Saitsu
    • 1
  • Kazuharu Shigetomi
    • 1
  1. 1.The Second Department of SurgeryKurume University School of MedicineKurume, FukuokaJapan

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