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SALVAGE THERAPY IN PATIENTS WITH UNRESECTABLE HILAR CHOLANGIOCARCINOMA
Authors:Takao Itoi  Atsushi Sofuni  Fumihide Itokawa  Yasushi Shinohara  Kazuya Takeda  Kazuto Nakamura  Toshio Kurihara  Takayoshi Tsuchiya  Fuminori Moriyasu
Abstract:
We describe our methods and outcomes of multidisciplinary treatments in patients with unresectable hilar cholangiocarcinoma. Fifty‐seven patients with a known outcome were enrolled. Thirty‐four of 57 patients were treated and evaluated by salvage therapy. For salvage therapy, we used internal and external radiotherapy, photodynamic therapy, YAG laser therapy and microwave coagulation therapy. The median survival time was 548 days for the group receiving salvage therapy and 198 days for the group not receiving this treatment. In conclusion, although no randomization of the patients was performed in this retrospective study, our present data provide convincing evidence that salvage therapy is a useful therapeutic approach for unresectable hilar cholangiocarcinomas.
Keywords:hilar cholangiocarcinoma  laser therapy  salvage therapy
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