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김대성(Dae Sung Kim),노병선(Byoung Seon Rhoe),윤광수(Kwang Soo Yoon),조남천(Nam Cheon Cho),이연희(Yeon Hee Lee),홍운연(Woon Yeon Hong) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.6
N/A The records of 39 patients with extrahepatic bi]e duct (EHBD) carcinoma who received operation at the Department of Surgery, Yonsei University Wonju College of Medicine from Mar., 1982 to Feb., 1991 were reviewed. Twenty-seven of 39 patients were men with and average age of 57. 5 years (26 to 78 years). Jaundice was the most frequent clinical finding (33/39) followed by RUQ abdominal pain (22/39) and pruritus (17/39), and palpable abdominal mass was noted on only 2 of 39. The carcinoma was located at the distal 1/3 of the EHBD in 59% of the patients and in 5 1%, 35. 9% at the middle and proximal thirds, respectively. All cases were adenocarcinoma. Overall resectability was 69.2%, Twenty-seven of 39 underwent a resection (13 pancreaticoduodenectomy, 13 segmental resection, I pancreatoduodenectomy with trisegmentectomy of liver). Postoperative complications were wound infection (12 8%, n=5), anastomotic leakage (12.8%, n= 5), and UGI bleeding (2.6%, n=1). Operative motality was 15.4%(6/39). One, 2, 3, 5-year survival rates in the curative group (92%, 73 %, 61 %, 40%) were,superior to those in the noncurative group (50%, 0%). The result of this study suggest that early diagnosis and surgica] exploration with resectiron provides the only meaningful chance for cure and increased survival in these patiets.