Surgical Treatment of Extrahepatic Cholangiocarcinoma

Abstract

Introduction: Cholangiocarcinoma is the most frequent biliary tract neoplasm responsible for high morbidity and mortality.

Objective: To determine morbidity and mortality due to extrahepatic cholangiocarcinoma in the surgery service of Hospital Universitario Manuel Ascunce Domenech.

Methods: A descriptive, prospective and observational study was carried out with patients admitted to the general surgery service with a diagnosis of extrahepatic cholangiocarcinoma between September 2018 and January 2022. The study universe consisted of 21 patients who met the inclusion criteria. Descriptive statistical methods and calculations with percentage values were used.

Results: The highest incidence of patients were male and white-skinned, accounting for 71.4% and 85.7%, respectively. Adenocarcinoma predominated as histological variety, representing 85.7 %, together with proximal cholangiocarcinoma and the sclerosing variant of its classification. 71.4 % of the patients were discharged alive and after curative surgery.

Conclusions: Most of the patients were male, white-skinned and from rural origin. The most frequent findings were a proximal location and the sclerosing variant. Over half the patients underwent Hess and Whipple procedure with curative purpose. Biliary leakage, adenocarcinoma as histologic type, and the condition of alive at discharge prevailed in all patients.