Immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patients

Keywords: peripheral cholangiocarcinoma; hepatic resection; elderly age; senile age.

Abstract

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.

Author Biographies

O. Yu. Usenko, Shalimov National Institute of Surgery and Transplantology, Kyiv

Usenko Hrynenko Zhylenko Popov Husiev Oleksander Yu., MD, DSci(Med), professor
director Shalimov National Institute of Surgery and Transplantology
30 Heroiv Sevastopolia Str., 03680, Kyiv, Ukraina,
+38 (044) 408 18 11
usenko1962@gmail.com
http://orcid.org/0000-0003-4957-4104

O. V. Hrynenko, Shalimov National Institute of Surgery and Transplantology, Kyiv

Hrynenko Oleksander, MD, Surgeon
Chief of Department of liver transplantation and surgery
Shalimov National Institute of Surgery and Transplantology
30 Heroiv Sevastopolya Str., 03680, Kyiv, Ukraine,
+38 (044)4542079
grinenkoalex@gmail.com
https://orcid.org/0000-0003-3535-8232

A. І. Zhylenko, Shalimov National Institute of Surgery and Transplantology, Kyiv

Zhylenko Andrii, MD, Surgeon
Department of liver transplantation and surgery
Shalimov National Institute of Surgery and Transplantology
30 Heroiv Sevastopolya Str., 03680, Kyiv, Ukraine,
+38 (044)4542079
jojo09512@gmail.com
https://orcid.org/0000-0002-7117-5401

O. O. Popov, Shalimov National Institute of Surgery and Transplantology, Kyiv

Popov Oleksii, MD, Surgeon
Department of liver transplantation and surgery
Shalimov National Institute of Surgery and Transplantology
30 Heroiv Sevastopolya Str., 03680, Kyiv, Ukraine,
+38 (044)4542079
popovalexey78@gmail.com
https://orcid.org/0000-0003-3333-8473

A. V. Husiev, Shalimov National Institute of Surgery and Transplantology, Kyiv

Husiev Andrii MD, PhD (Med)
Senior Scientific Researcher of Department of liver transplantation and surgery
Shalimov National Institute of Surgery and Transplantology
30 Heroiv Sevastopolya Str., 03680, Kyiv, Ukraine,
+38 (044)4542079
andreigusev777@gmail.com
https://orcid.org/0000-0002-9181-2578

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Published
2020-10-29
How to Cite
Usenko, O. Y., Hrynenko, O. V., ZhylenkoA. І., Popov, O. O., & Husiev, A. V. (2020). Immediate results of surgical treatment of peripheral hepatic cholangiocarcinoma in elderly and senile patients. Klinicheskaia Khirurgiia, 87(9-10), 48-53. https://doi.org/10.26779/2522-1396.2020.9-10.48
Section
General Problems of Surgery