Immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patients
Objective. To estimate immediate results of surgical treatment of peripheral cholangiocarcinoma in elderly and senile patients. Materials and methods. In 2004-2018 yrs period in the Department of Transplantation and Surgery of the Liver of the Shalimov National Institute of Surgery and Transplant...
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| Format: | Article |
| Language: | Russian |
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Liga-Inform ltd.
2020-10-01
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| Series: | Клінічна хірургія |
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| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/865 |
| _version_ | 1827959873874165760 |
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| author | O. Yu. Usenko O. V. Hrynenko A. І. Zhylenko O. O. Popov A. V. Husiev |
| author_facet | O. Yu. Usenko O. V. Hrynenko A. І. Zhylenko O. O. Popov A. V. Husiev |
| author_sort | O. Yu. Usenko |
| collection | DOAJ |
| description | Objective. To estimate immediate results of surgical treatment of peripheral cholangiocarcinoma in elderly and senile patients.
Materials and methods. In 2004-2018 yrs period in the Department of Transplantation and Surgery of the Liver of the Shalimov National Institute of Surgery and Transplantology 84 patients, suffering peripheral cholangiocarcinoma, were radically operated: 31 (36.9%) patients older than 60 yrs (the main Group), and 53 (63.1%) patients, younger than 60 yrs (control Group).
Results. Postoperative clinically significant (IIIa-IV degree in accordance to classification of Clavien-Dindo) complications during 90-days of postoperative period were noted in 29.1% patients of the main Group and in 32.1% patients of a control Group (p=0.262), postoperative hepatic insufficiency, in accordance to The International Study Group of Liver Surgery criteria, - in 16.1 and 22.6% accordingly (p=0.473); reoperation was performed in 9.6 and 9.4% patients, accordingly (p=0.973). The causes of postoperative lethality in 2 patients of the main Group were an acute myocardial infarction (1) and an acute pulmonary thromboembolism (1).
Conclusion. Hepatic resection is characterized by satisfactory immediate results of treatment of peripheral cholangiocarcinoma in elderly and senile patients, if performed in highly-specialized multidisciplinary centre and thorough selection of patients. |
| first_indexed | 2024-04-09T16:00:00Z |
| format | Article |
| id | doaj.art-cceba2dfa4e6409b9e0c4398e43c0d57 |
| institution | Directory Open Access Journal |
| issn | 0023-2130 2522-1396 |
| language | Russian |
| last_indexed | 2024-04-09T16:00:00Z |
| publishDate | 2020-10-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj.art-cceba2dfa4e6409b9e0c4398e43c0d572023-04-25T13:54:16ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962020-10-01879-10485310.26779/2522-1396.2020.9-10.48865Immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patientsO. Yu. Usenko0O. V. Hrynenko1A. І. Zhylenko2O. O. Popov3A. V. Husiev4Shalimov National Institute of Surgery and Transplantology, KyivShalimov National Institute of Surgery and Transplantology, KyivShalimov National Institute of Surgery and Transplantology, KyivShalimov National Institute of Surgery and Transplantology, KyivShalimov National Institute of Surgery and Transplantology, KyivObjective. To estimate immediate results of surgical treatment of peripheral cholangiocarcinoma in elderly and senile patients. Materials and methods. In 2004-2018 yrs period in the Department of Transplantation and Surgery of the Liver of the Shalimov National Institute of Surgery and Transplantology 84 patients, suffering peripheral cholangiocarcinoma, were radically operated: 31 (36.9%) patients older than 60 yrs (the main Group), and 53 (63.1%) patients, younger than 60 yrs (control Group). Results. Postoperative clinically significant (IIIa-IV degree in accordance to classification of Clavien-Dindo) complications during 90-days of postoperative period were noted in 29.1% patients of the main Group and in 32.1% patients of a control Group (p=0.262), postoperative hepatic insufficiency, in accordance to The International Study Group of Liver Surgery criteria, - in 16.1 and 22.6% accordingly (p=0.473); reoperation was performed in 9.6 and 9.4% patients, accordingly (p=0.973). The causes of postoperative lethality in 2 patients of the main Group were an acute myocardial infarction (1) and an acute pulmonary thromboembolism (1). Conclusion. Hepatic resection is characterized by satisfactory immediate results of treatment of peripheral cholangiocarcinoma in elderly and senile patients, if performed in highly-specialized multidisciplinary centre and thorough selection of patients.https://hirurgiya.com.ua/index.php/journal/article/view/865peripheral cholangiocarcinoma; hepatic resection; elderly age; senile age. |
| spellingShingle | O. Yu. Usenko O. V. Hrynenko A. І. Zhylenko O. O. Popov A. V. Husiev Immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patients Клінічна хірургія peripheral cholangiocarcinoma; hepatic resection; elderly age; senile age. |
| title | Immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patients |
| title_full | Immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patients |
| title_fullStr | Immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patients |
| title_full_unstemmed | Immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patients |
| title_short | Immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patients |
| title_sort | immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patients |
| topic | peripheral cholangiocarcinoma; hepatic resection; elderly age; senile age. |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/865 |
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