摘要
目的 原发性肝癌伴胆管癌栓的外科手术治疗及其治疗效果。方法 回顾性总结原发性肝癌伴胆管癌栓 11例行胆管切开癌栓清除术 ,其中加做肝癌局部切除术 7例。结果 手术死亡 2例 ,术后随访 1年 ,除 1例至今仍存活 11个月外 ,余 8例生存期分别为 11、10、9、8、5、4 5、3、3个月。平均生存时间为 6个月。结论 肝癌局部切除加胆管切开癌栓清除术不失为原发性肝癌伴胆管癌栓患者的一种姑息治疗方法。
Objective [WT5”BZ]To evaluate surgical therapy and the effect for primary hepatocellular carcinoma with tumor thrombi in the bile duct.[WT5”HZ]Methods [WT5”BZ] 11 patients underwent surgical clearance of tumor thrombi from bile duct and 7 patients underwent hepatectomy plus the clearance of tumor thrombi from bile duct.[WT5”HZ] Results [WT5”BZ]Two patients died postop days 10,and 14. All discharged patients were followed up for up to one year. One patient was still alive at 11 months postop and 8 survived for 3 to 10 months.The average survival time was 6 months.[WT5”HZ] Conclusion [WT5”BZ]Hepatectomy plus the clearance of tumor thrombi from bile duct has good palliative effect for primary hepatocellular carcinoma patients complicated by tumor thrombi in the bile duct.
出处
《中华普通外科杂志》
CSCD
2000年第1期12-14,共3页
Chinese Journal of General Surgery
