Modified long Mire Technique for Biliary Decompression in Hilar Cholangiocarcinoma (Klatskin Tumor) Over 10 Years Experience of a Single Center

A Afsharfard; M Mozaffar; MR Sobhiyeh; Niki  Tadayon; KH Atghiayie

International Journal of Cancer Management

The Official Journal of Cancer Research Center (CRC), Shahid Beheshti University of Medical Sciences

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Modified long Mire Technique for Biliary Decompression in Hilar Cholangiocarcinoma (Klatskin Tumor) Over 10 Years Experience of a Single Center

Author(s):

A Afsharfard¹,

M Mozaffar²,

MR Sobhiyeh²,

Niki Tadayon^2,*,

KH Atghiayie²

1Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of General and Vascular Surgery, Shohada Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2Department of General and Vascular Surgery, Shohada Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

International Journal of Cancer Management:Vol. 3, issue 2; e80667

Published online:Jun 30, 2010

Article type:Research Article

Received:Jan 03, 2010

Accepted:Mar 20, 2010

How to Cite: A AfsharfardM MozaffarMR SobhiyehNiki Tadayon KH AtghiayieModified long Mire Technique for Biliary Decompression in Hilar Cholangiocarcinoma (Klatskin Tumor) Over 10 Years Experience of a Single Center.Int J Cancer Manag.3(2):e80667.

Abstract

Background: Patients with malignant obstruction of the biliary tract suffer from progressive jaundice and purities, and if the obstruction is not relieved they will die from cholangitis, septicaemia or liver failure. The correct choice between many operative and non-operative procedures available to relive jaundice is not yet determined. Unresectable disease (perihilar cholangiocarcinoma) found at the time of open exploration can be treated with a palliative surgical biliary bypass such as modified Longmire technique.

Methods: Eighteen (18) cases with unresectable hilar cholangiocarcinoma found at the operation underwent modified Longmire technique for biliary decompression.

Results: The mean preoperative bilirubin level was 22 mg/dl. The post operative mean total bilirubin level was below 5mg/dL about 1 month after surgery. During the follow-up period, averaging 22 months (max 6 years), jaundice recurred only near the death of these patients. There was 1 in-hospital death, and the median survival was 18 months (maximum 6 years). The operation completely relieved the jaundice, and excellent palliation was achieved for more than 85% of the survival time.

Conclusion: We found this technique very effective to palliate patients mentioned above.

Keywords

Cholestatic Jaundice

Biliary decompressio

Modified long mire technique

Hilar Cholangiocarcinoma

klatskin tumor

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