论文部分内容阅读
目的 :总结肝门部胆管癌的手术治疗经验。方法 :回顾性分析 1999年 6月至 2 0 0 2年 6月手术切除的肝门部胆管癌 10例的临床资料。结果 :手术切除数占同期总手术例数 47.6 % (10 /2 1) ,根治性切除率为 2 8.6 % (6 /2 1) ,无手术死亡。根治性切除患者中有 2例分别于术后 16个月和 2 1个月死于肿瘤复发 ,有 4例仍存活 ,平均生存 18个月 .姑息性切除患者有 1例存活 ,其余 3例死亡 ,平均生存 10 .5个月。结论 :肝门部胆管癌应尽可能行切除手术 ,肝十二指肠韧带骨骼化和联合肝切除是根治术的基本要求和延长生存期的重要措施。用PMOD进行刮吸解剖 ,对手术成功有帮助
Objective: To summarize the experience of surgical treatment of hilar cholangiocarcinoma. Methods: The clinical data of 10 cases of hilar cholangiocarcinoma surgically resected from June 1999 to June 2002 were retrospectively analyzed. Results: The number of resection accounted for 47.6% (10/21) of the total cases in the same period, and the radical resection rate was 22.66% (6/2). There was no operative death. Two of the patients who underwent radical resection died of tumor recurrence at 16 months and 21 months respectively, and 4 survived with an average survival of 18 months. One patient survived in palliative resection and the remaining 3 died , The average survival of 10.5 months. Conclusion: Hilar cholangiocarcinoma should be resected as much as possible. The hepaticoduodenal ligament osteosynthesis and hepatectomy are the basic requirements of radical operation and an important measure to prolong survival. Shaving and dissecting with PMOD is helpful for successful operation