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vol.68 número2GASTROSTOMÍA ENDOSCÓPICA -THROUGH COMO DISPOSITIVO DE INSTALACIÓNSE JUSTIFICA EL SEGUIMIENTO DESPUÉS DE UNA COLECTOMÍA EN PACIENTES CON POLOPOSIS ADENOMATOSA FAMILIAR índice de autoresíndice de materiabúsqueda de artículos
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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

SAURE, Alexandre. Intrahepatic cholangiocarcinoma. Experience in 30 operated patients. Rev Chil Cir [online]. 2016, vol.68, n.2, pp.154-163. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262016000200008.

background: Intrahepatic cholangiocarcinoma (ICC) corresponds to 10% of liver primary malignant tumors. Aim: To show the results of surgical treatment of ICC in a biliary surgery center. material and methods: Review of a prospective database of operated patients at a surgical service of a clinical hospital. Thirty operated patients with an ICC, aged 25 to 83 years (20 women), were identified. Results: Twenty six patients had symptoms, 12 of 19 had high levels of CA19-9 and in four the tumor was non resectable. Twenty four patients underwent major hepatectomy and two, a minor hepatectomy. Combined resections were performed in three patients. Lymphadenectomy was performed in 14 patients and five had lymph node metastases. Surgical time was 272 minutes, mean intensive care unit stay was 10 days and mean ventilatory support use was five days. Surgical mortality was 19% and complications appeared in 53% of patients. Tumors were stage I, II, III and IV in 11, 5, 3 and 11 patients respectively. Overall survival was 16 months. Survival in tumors stage I and II was 50% at five years. In stages III and IV, it was 11.2 months. Conclusions: Surgery for ICC has an acceptable mortality and complications rate with a five years survival of 25%.

Palabras clave : Intrahepatic cholangiocarcinoma; survival; hepatectomy.

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