论文部分内容阅读
1985年5月至1989年10月,我们对4例恶性阻塞性黄疸病人剖腹探查,因肝门部位肿瘤浸润粘连严重,无法进行肿瘤切除,施行了肝内胆管空肠桥式引流术,取得了较满意的临床效果,现报道如下。本组男3例,女1例。年龄63～83岁,平均69岁。全组术前均作短期护肝治疗及必要的术前检查,3例作PTC检查。术后病理诊断胆囊癌2例,肝外胆管癌2例。病程4～13年。 1 手术方法取右上腹经腹直肌切口进入腹腔。探查肿瘤浸润生长情况,确认无法切除时,取活检后即开始本术式。在肝脏面与胆管走向垂直切开肝被膜,长约2～3cm。继之用刀柄向肝脏深处钝性分离,
From May 1985 to October 1989, we conducted exploratory laparotomy on 4 patients with malignant obstructive jaundice. Due to severe infiltration and adhesion of the hepatic portal site tumor, it was impossible to perform tumor resection and intrahepatic bile duct jejunal bridge drainage was performed. Satisfactory clinical results are reported below. This group of 3 males and 1 female. Age 63 to 83 years, average 69 years old. All the patients received short-term liver protection and necessary preoperative examinations before surgery, and 3 patients underwent PTC examination. Postoperative pathological diagnosis of gallbladder cancer in 2 cases, extrahepatic bile duct cancer in 2 cases. Duration of 4 to 13 years. 1 surgical method to take the right upper abdomen incision through the rectus abdominis into the abdominal cavity. To investigate the growth of tumours and confirm that they cannot be removed, start the biopsy and start the procedure. The hepatic capsule was cut perpendicular to the bile duct on the liver surface and was approximately 2 to 3 cm long. Followed by a blunt dissection of the liver with a knife handle.