PMID: 9014665Nov 1, 1996Paper

Surgery for biliary obstruction by tumour thrombus in primary liver cancer

The British Journal of Surgery
B TantawiP L Fagniez

Abstract

Five patients with primary liver cancer presented with obstructive jaundice due to extension of tumour thrombus into the biliary ducts. Three patients had hepatocellular carcinoma, two of whom had alcoholic cirrhosis, and the other two had a peripheral cholangiocarcinoma. Preoperative diagnosis of biliary thrombus was best achieved by ultrasonography and computed tomography which showed peripheral hepatic tumour with dilated bile ducts containing dense material. All patients underwent liver resection associated with biliary exploration, clearance and T-tube drainage. Major hepatectomy was required in four cases. There were no postoperative deaths; one patient developed a subphrenic collection of bile which was drained percutaneously. All patients survived more than a year; median survival was 29 months. There are two long-term survivors without recurrence at 29 and 80 months. Patients with primary liver cancer and jaundice due to migrated tumour fragments in the common bile duct may benefit from surgical resection which can result in long-term resolution of symptoms and occasional cure.

References

Oct 1, 1976·The American Journal of Digestive Diseases·S N BrandL H Bernstein
Feb 1, 1977·American Journal of Surgery·Y KuroyanagiH Kato
Jul 1, 1978·The American Journal of Digestive Diseases·A AfroudakisN Kaplowitz
Nov 1, 1992·Gastroenterology·P J CapizziD M Nagorney
Sep 1, 1991·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·K TanoueC Yasunaga
Apr 1, 1990·Journal of Clinical Gastroenterology·J KievM D Kerstein
Dec 1, 1990·The Australian and New Zealand Journal of Surgery·W Y LauA K Li
Mar 1, 1988·Annals of Internal Medicine·A M Di BisceglieM T Lotze
Jan 1, 1987·The British Journal of Surgery·N S HadjisL H Blumgart
Jan 1, 1969·The American Journal of Digestive Diseases·C D Gerson, R A Schinella
Mar 1, 1973·The British Journal of Radiology·R L WaldronK Sorger
Aug 1, 1984·Digestive Diseases and Sciences·J S AlbaughW W Krippaehne
Nov 1, 1984·Archives of Surgery·J J RoslynR K Tompkins
Mar 1, 1984·Clinical Radiology·N W LeeJ Wong
May 1, 1961·Annals of Surgery·W A JOHNS, A ZIMMERMAN

Citations

Jan 11, 2011·World Journal of Surgical Oncology·Wenyu ShaoYanming Zhou
Jul 31, 2003·Zhonghua wai ke za zhi [Chinese journal of surgery]·Shu-you PengCheng-hong Peng
May 20, 2008·Surgical Oncology Clinics of North America·Richard BryantDaniel Cherqui
Mar 13, 2003·World Journal of Gastroenterology : WJG·Lun-Xiu Qin, Zhao-You Tang
Jul 23, 2014·Yonsei Medical Journal·Semi ParkSeungmin Bang
Jul 4, 2006·ANZ Journal of Surgery·Eric C H Lai, Wan Yee Lau
Mar 28, 2003·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Qiu ZhaoNanzhi Liu
Mar 10, 2009·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Kyu-Ho ChoiYun-Sun Choi
Jul 2, 2005·World Journal of Gastroenterology : WJG·Bao-Gang PengShi-Min Luo

Related Concepts

Related Feeds

Carcinoma, Hepatocellular

Hepatocellular Carcinoma is a malignant cancer in liver epithelial cells. Discover the latest research on Hepatocellular Carcinoma here.

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.