Estimation of operation for hilar and Gallbladder Carcinoma in View of Quality of Life

Junji Tanaka, Shigeki Arii, Ken-ichi Fujita, Tadao Manabe, Takayoshi Tobe

The First Department of Surgery, Kyoto University School of Medicine

Home-life survival rates for 60 hilar (H) and 73 gall bladder (GB) carcinoma cases in our department since 1981 were retrospectively analyzed according to stage, curability and operative procedures. One-year home-life survival rates decrease with an advance in stage, to 7% for GB carcinoma and 4% H carcinoma of stage 4. Curability also directly influence the 1-year home-life survival rate as follows; 0% and 4% for H and GB carcinomas with an absolute non-curative operation. However, the low survival rates was improved to about 30% for H carcinoma and 8% for GB carcinoma by resection and to around 65% for GB carcinoma by a curative operation, The l-year home-life survival rates after no resection and minor and major operations for advanced H and GB carcinoma of stages 3 and 4 were 0,25 and 22% respectively for H and 4,42 and 22% for GB carcinomas. Thus, resection of the tumor results in better quality of life than no resection, but a major operation does not necessarily improve life quality

Key words
bile duct carcinoma, operation, home-life survival

Reprint requests
Junji Tanaka First Department of Surgery, Faculty of Medicine, Kyoto University
54 Shogoin-Kanaramachi, Sakyo-ku, Kyoto, 606 JAPAN

Accepted
July 6, 1992

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