title: [Hepatic confluence tumors: results and quality of life according to the type of treatment].
abstract: We analyzed survival rate and quality of life according to the treatment modality in 52 patients with hilar tumors. Six of them underwent resection (11.5%); 4 without hepatectomy, one left hepatectomy and one trisegmentectomy. The remaining 46 patients were treated by: radiologic external-internal drainage (12), placement of percutaneous endoprostheses (14), surgical intubation (18), and cholangioanastomoses to segment III in 2. Prognostic factors (PITT and A.P.A.C.H.E. II), survival time and quality of life were analyzed. Survival and comfort index were significantly better (p < 0.001) in the resection group than in the palliation one. Among palliative procedures percutaneous endoprostheses and surgical intubation offered better quality of life (p < 0.001) than radiologic external-internal drainage. We conclude that resection improves survival and offers better quality of life than palliative procedures. Our results suggest that resection during laparotomy should be attempted in order to improve results in the treatment of hepatic confluence tumors.
authors.affiliation: Departamento de Cirugía, Hospital Universitario Reina Sofía, Córdoba.
authors.forename: F J
authors.initials: FJ
authors.lastname: Padillo
authors.forename: E
authors.initials: E
authors.lastname: Varo
authors.forename: A
authors.initials: A
authors.lastname: Membrives
authors.forename: S
authors.initials: S
authors.lastname: Rufián
authors.forename: P
authors.initials: P
authors.lastname: López
authors.forename: G
authors.initials: G
authors.lastname: Miño
authors.forename: M
authors.initials: M
authors.lastname: Canis
authors.forename: C
authors.initials: C
authors.lastname: Pera Madrazo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000401:mortality / Q000601:surgery*; D004322:Drainage; D005260:Female; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D018285:Klatskin Tumor / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D019736:Prostheses and Implants; D011788:Quality of Life; D012307:Risk Factors; D015996:Survival Rate