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高位胆管癌,即肝门部胆管癌,亦称近端胆管癌,是指位于胆囊管开口以上的胆管癌。本病在我国经过“难以切除”的漫长历史之后,于本世纪70年代中叶进入手术切除阶段,并于1987年始见文献报告;1990年作了全国调查报告;解放军总医院将手术切除率由8.3%提高到66.6%。本文作者由1991年以来的首批切除阶段中治疗了24例,特予分析讨论。 1 临床资料 1.1 基本状况全组24例。男15例,女9例。平均年龄59.3(38～79)岁。病后出现黄疸前均有上腹闷胀,饭后加
High-grade cholangiocarcinoma, or hilar cholangiocarcinoma, also known as proximal cholangiocarcinoma, refers to cholangiocarcinoma located above the cystic duct opening. After the long history of “difficult to excise” in our country, this disease entered the stage of surgical resection in the mid-1970s, and began to see the report of the literature in 1987; a national investigation report was made in 1990; the General Hospital of the People’s Liberation Army will remove the disease. From 8.3% to 66.6%. The author of this article has treated 24 cases in the first phase of resection since 1991, and is specifically analyzed and discussed. 1 Clinical data 1.1 The basic situation of the whole group of 24 cases. There were 15 males and 9 females. The average age is 59.3 (38 to 79) years old. Before the onset of jaundice, there is abdominal swelling, after dinner.