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自1988年1月至1994年10月我院收治肝门部胆管癌13例,均经手术、病理证实。手术切除7例,切除率53.8%,治愈性切除4例(30.8%)。病理类型分六型,腺癌11例,占84.6%。姑息性切除未能显著延长生存期,病期晚、非治愈性切除是影响手术效果的重要因素。本文就肝门部胆管癌的临床与病理特点进行讨论,强调早期诊断及外科治疗的重要性。
From January 1988 to October 1994, 13 cases of hilar cholangiocarcinoma were treated in our hospital. All cases were confirmed by surgery and pathology. Surgical resection was performed in 7 cases with a resection rate of 53.8% and curative resection in 4 cases (30.8%). The pathological type was divided into six types, 11 cases of adenocarcinoma, accounting for 84.6%. Palliative resection failed to significantly prolong survival. Later-stage, non-curative resection was an important factor affecting the outcome of surgery. This article discusses the clinical and pathological features of hilar cholangiocarcinoma and emphasizes the importance of early diagnosis and surgical treatment.