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1991年~1995年收治高位胆管癌病人14例,采用肝门部电凝锐性解剖的方法,手术切除率达85.7%,无手术死亡,术后平均存活14.9个月。11例获治愈性切除。文章详细介绍了电凝锐性解剖技术在肝门部胆管癌切除时的方法及要点。在临床实践中证实其具有术中出血少、成功率高、耗时少等优点,对提高胆道恶性肿瘤的切除率具有重要意义。
From 1991 to 1995, 14 patients with high-grade cholangiocarcinoma were treated with electrocautery and electrocoagulation. The surgical resection rate was 85.7%, and no operative death occurred. The average survival time was 14.9 months. 11 cases were cured. This article describes in detail the method and key points of electrocoagulation anatomy in the removal of hilar cholangiocarcinoma. In clinical practice, it is proved that it has the advantages of less intraoperative blood loss, high success rate, and less time-consuming. It is of great significance in improving the resection rate of malignant biliary tumors.