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目的:总结肝门部胆管癌的诊治方法。方法:回顾性分析1990年1月1日至2006年6月30日我科收治的行手术切除的16例肝门部胆管癌病人的诊治资料。结果:16例均行根治性切除术,术后并发症,胆肠吻合口瘘2例,膈下脓肿2例,伤口感染1例,肺炎2例,胃瘫1例,均治愈。无术后肝功能衰竭。总的1、3、5年生存率分别为80%、34%、23%,最长1例已生存7年。结论:肝门部胆管癌预后较差,充分的手术前准备,争取肿瘤切除,特别是根治性切除是目前可取的方法。
Objective: To summarize the diagnosis and treatment of hilar cholangiocarcinoma. Methods: The clinical data of 16 cases of hilar cholangiocarcinoma who underwent surgical resection in our department from January 1, 1990 to June 30, 2006 were retrospectively analyzed. Results: All the 16 cases underwent radical resection. Postoperative complications included 2 cases of cholecystojejunostomy, 2 cases of subphrenic abscess, 1 case of wound infection, 2 cases of pneumonia and 1 case of gastric paralysis. All cases were cured. No postoperative liver failure. The overall 1, 3, 5-year survival rates were 80%, 34%, 23%, and the longest one had survived for 7 years. Conclusions: The prognosis of hilar cholangiocarcinoma is poor. Adequate preoperative preparation and tumor resection, especially radical resection, are the preferable methods.