Cappelletti F, Marzano P F, Giacinti I, Di Bello M G, Maturo A, Di Matteo F M, Micacchi M, Zaccagnino P, Morucci R, Petrassi P, Ascenzi P, Di Curzio B
Istituto di III Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1996 Nov-Dec;17(11-12):589-92.
In the last 5 years 25 patients (11 men, 14 women) with carcinoma of the extrahepatic biliary duct were studied. The most frequent localization of the carcinoma was the hepatic hilum. D.C.P. according to Whipple was possible only in one patient, while in 20 patients a palliative approach with external and internal biliary derivations was the choice. In the remaining 4 patients an explorative laparotomy with biopsy was performed. It is concluded that palliative resection allows for a better quality of life.