title: [Klatskin's tumor].
abstract: During the period 1989-1998, 27 patients with primary proximal bile duct cancer were treated (17 females and 10 males with a mean age of 61 years). The main presenting symptoms were: jaundice (96.2%), itching (92.5%), weight loss (74%) and atypical pain (33.3%). All the patients underwent ultrasound (US) examination, 7 patients endoscopic retrograde cholangiopancreatography (ERCP) and 4 patients computed tomography (CT) examination. US examination revealed the tumor in 51% cases; most frequently a dilatation of the intrahepatic bile ducts was diagnosed with all methods. 8 patients underwent resection of the tumor and one a biliary-enteric anastomosis, in 15 cases a stent was inserted. In 3 cases the extension of the malignancy did not allowed any procedure. Three patients died during immediate postoperative period (mortality 11.2%). The mean survival was 13 months after stenting and 22 months after resection of the tumor. The authors recommended an aggressive surgical therapy for Klatskin tumors.
authors.affiliation: Clinica a I-a Chirurgicală, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.
authors.forename: E
authors.initials: E
authors.lastname: Târcoveanu
authors.forename: C
authors.initials: C
authors.lastname: Pleşa
authors.forename: M
authors.initials: M
authors.lastname: Chifan
authors.forename: C
authors.initials: C
authors.lastname: Daniil
authors.forename: D
authors.initials: D
authors.lastname: Niculescu
authors.forename: M
authors.initials: M
authors.lastname: Bârza
authors.forename: F
authors.initials: F
authors.lastname: Crumpei
authors.forename: N
authors.initials: N
authors.lastname: Florea
authors.forename: G
authors.initials: G
authors.lastname: Balan
authors.forename: C
authors.initials: C
authors.lastname: Volovăţ
authors.forename: L
authors.initials: L
authors.lastname: Moisi
authors.forename: O
authors.initials: O
authors.lastname: Epure
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology / Q000601:surgery; D005260:Female; D006500:Hepatic Duct, Common / Q000473:pathology / Q000601:surgery; D006801:Humans; D018285:Klatskin Tumor / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010166:Palliative Care; D012189:Retrospective Studies