摘要
作者为１５例Ⅲ、Ⅳ型肝门胆管癌作了多肝段月牙形切除、裙边式肝肠Ｒｏｕｘ－ｙ手术。采取多肝段引流和周边胆管牵开技术，胆汁引流范围广、吻合口不易受肿瘤侵犯、引流胆管不易狭窄，而引流效果好。本组结果表明：术后胆汁引流量日平均７００ｍｌ，平均生存１８个月，病人舒适指数７７．８％，无手术死亡病例．本文提示，该术式是治疗Ⅲ、Ⅳ型肝门胆管癌的有效且可行的姑息性手术．
From 1989.3.through 1993.10,We used hepaticoenterostomy in the form of a skint edge following the crescent-shape excision of multiple hepatic segments,to operat on 15 patients with liver hilar cholangiocarcinome belong to type 3 and 4.As multiple hepatic ducts was drained and drawn,and the hepatic duct was not stricture easily as well as the anastomotic set.was not invaded easily,the drainage effect of bile was good.The results showed that a mean drainage quantity of bile was 700 ml a day, the mean survial time was 18months,the patient comfortable index was 77.8% and there was mot operative death in the series.It is suggest that the surgical technique of the treatment is a good palliative method for the type 3 and 4 hilar cholangiocarcinoma.
出处
《肝胆外科杂志》
1996年第3期161-163,共3页
Journal of Hepatobiliary Surgery
关键词
胆管肿瘤
肝门胆管癌
肝肠吻合
Cholangiocarcinoma Hilus Hepatectomy Hepaticoenterostomy
