Home › Cancers and Tumors

Bile duct Cancer (cholangiocarcinoma) Treatment

Bile duct Cancer Treatment is based on different site of Bile duct Cancer such as hilar cholangiocarcinoma, middle and lower Bile duct Cancer.

1. Surgical treatment of Bile duct Cancer:

(1) Surgical resection of hilar cholangiocarcinoma:

  • hilar bile duct, common bile duct and cholecystectomy, biliary-enteric anastomosis. Applicable to the substance does not invade the liver and liver cancer Explorer.
  • liver side front leaf or leaf part of hilar bile duct and liver resection, resection of extrahepatic bile duct, biliary-enteric anastomosis. For the convergence of hepatic duct cancer or cholangiocarcinoma.
  • liver or the left side leaves the liver and hepatic hilar bile duct resection, resection of extrahepatic bile duct, biliary-enteric anastomosis. Applied to the left hepatic duct and liver cancer Explorer.
  • right liver or liver lobi hilar bile duct and liver resection, resection of extrahepatic bile duct, biliary-enteric anastomosis. Apply to Explorer right hepatic duct and liver cancer.
  • liver super-half or three hepatic hilar bile duct and liver resection, extrahepatic bile duct, part of the caudate lobe resection, biliary-enteric anastomosis. Applied to the left or right hepatic duct tumor invasion and more than two hepatic duct and caudate lobe hepatic duct.
  • palliative resection. Leaves the liver and liver to portal bile duct, extrahepatic bile duct resection, biliary-enteric anastomosis, and cancer organizations such as the residual part of the caudate lobe hepatic duct or the portal vein wall.
  • portal vein, or about the convergence of victims of violations stem anterior resection of the affected part of the re-vascular vein patch reconstruction, postoperative radiotherapy supplemented by intracavitary.

    (2) Palliative surgery for hilar cholangiocarcinoma: biliary enteric drainage is the preferred method of palliative surgery. Principle is the biliary-enteric anastomosis should be kept away from the lesion. According to PTC cases showed that the expansion of the bile duct, select parts cholecystojejunostomy. Some cases as a result of violations of hilar lesions, or liver atrophy - the existence of complex hypertrophy, bile duct atrophy with leaves, drainage of little value. Ye mast difficult bile duct revealed many cases of unresectable drainage only. Commonly used method is the expansion of cancer after a narrow rough and hard as possible to place the T-tube, U-shaped inner supporting tube or catheter. T-tube or by the common bile duct can lead to liver. In order to prevent slippage, suture drainage tube should be fixed in the gall bladder wall and surrounding tissue, and the paragraph to make a jejunostomy for bile after transfusion and nutrition tube feeding when necessary. Non-surgical drainage of the methods commonly used PTCD, sinus PTCD also may be placed within the expanded stent. Through the stenosis.

    (3) Resection for the middle and lower Bile duct Cancer: in the lower than hilar cholangiocarcinoma and rare papillary carcinoma. At present, the majority of scholars is the head of its operations, duodenectomy. Unresectable cancer of the lower part, the available methods of the above palliative.

    2. Chemotherapy: After surgery there gastroepiploic artery to hepatic artery catheter indwelling drug pumps, buried subcutaneous pump, pump after delivery by the drug, commonly used chemotherapy drugs for the 5-Fu. MMC.

    3. Radiotherapy: intraoperative radiotherapy, postoperative radiotherapy and sub-location, such as during the exposure. Radical dose radiotherapy for advanced bile duct cancer have a certain effect, which will enable the cancer cell degeneration and necrosis and inhibition of its growth, to extend the survival of patients with advanced cholangiocarcinoma period.

    • Submitted by Health Studies on Fri, 04/17/2009 - 17:47
    Category: