Authors: | Kuvshinoff, B. W.; Fong, Y.; Blumgart, L. H. |
Article Title: | Proximal bile duct tumors |
Abstract: | Modern radiologic diagnostic approaches that identify patients with high bile duct cancer can predict resectability and provide information for biliary-enteric bypass in the case of irresectability. Twenty percent to 40% of patients are resectable by local excision with or without hepatic resection, and this represents the only opportunity for cure. Operative mortality is now acceptable and resection is associated with a median survival of approximately 35 months. Numerous palliative operative and nonoperative approaches are available, including biliary-enteric bypass, transtumoral stenting, and percutaneous endoprostheses. The role of both intraluminal and external beam radiotherapy also is discussed. |
Keywords: | survival rate; doxorubicin; fluorouracil; cancer combination chemotherapy; cancer radiotherapy; palliative care; computer assisted tomography; palliative therapy; diagnostic imaging; brachytherapy; liver resection; stent; surgical mortality; mitomycin c; hepatectomy; bile duct carcinoma; biliary tract surgery; bile duct neoplasms; floxuridine; intestines; stents; endoscopic retrograde cholangiopancreatography; bile ducts; bile duct tumor; percutaneous transhepatic cholangiography; bile duct prosthesis; bile duct bypass; humans; human; article |
Journal Title: | Surgical Oncology Clinics of North America |
Volume: | 5 |
Issue: | 2 |
ISSN: | 1055-3207 |
Publisher: | Elsevier Inc. |
Date Published: | 1996-04-01 |
Start Page: | 317 |
End Page: | 336 |
Language: | English |
PUBMED: | 9019354 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | Article -- Export Date: 22 November 2017 -- Source: Scopus |