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方法 :作者研究了 4 8例肝门胆管癌患者 ,这些患者均实施了胆管癌根治以及淋巴结清扫术 ,常规的病理检查下淋巴结的癌灶转移均为阴性。其中 4 3例患者行了肝切除 ,其余 2人行了肝外胆管切除。 12例进行了联合门静脉切除 ,5例联合了胰十二指肠切除。扩大淋巴结切除次序如下 :切
METHODS: Forty-eight patients with hilar cholangiocarcinoma were studied. All of these patients underwent radical cholangitis and lymph node dissection. All the lesions were negative for lymph node metastasis under routine pathological examination. Forty-three patients underwent hepatectomy and the remaining two underwent extrahepatic bile duct resection. Twelve patients underwent combined portal vein resection and five patients underwent pancreatoduodenectomy. Expand the lymph node excision sequence is as follows: cut