In a 20-year period, from 1949 through 1969, a total of 32 cases of carcinoma of the common bile duct were treated on the Surgical Service at Barnes Hospital in St. Louis. Two cases are lost to follow-up. The results of conservative surgery were very poor. Those patients who had a biopsy only died usually within a month following the procedure. The 17 patients treated by T-tube decompression (excluding those who died in the immediate postoperative period) survived an average of 13.5 months (excluding the hospital deaths). The one patient with a definitive resection is still alive, with no evidence of disease 31 months postoperatively. It is our opinion that a more aggressive approach to this disease should be undertaken in view of the poor results that have been obtained with lesser procedures.
Klippel AP, Shaw RB. Carcinoma of the Common Bile Duct: Report of a Case of Successful Resection. Arch Surg. 1972;104(1):102–103. doi:10.1001/archsurg.1972.04180010096025
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